DARCY LYNN GROSTICK Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****12

License Status

NOT RENEWED

Business

First Name

DARCY

Middle

LYNN

Last Name

GROSTICK

Business Name

DARCY LYNN GROSTICK

Original Issue Date

07/17/2006

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

BUFFALO GROVE

State

Zip

60089

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/04/2010