RICHARD S NEWCOMB Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****10

License Status

CANCELLED

Business

First Name

RICHARD

Middle

Last Name

NEWCOMB

Business Name

RICHARD S NEWCOMB

Original Issue Date

07/20/2004

Effective Date

03/27/2014

Expiration Date

03/31/2016

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

03/27/2014