CHARLES R PARKER Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****13

License Status

NOT RENEWED

Business

First Name

CHARLES R

Last Name

PARKER

Business Name

CHARLES R PARKER

Original Issue Date

12/06/1999

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/04/2010