DAVID ALAN BALFOUR OD 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

DAVID

Middle

ALAN

Last Name

BALFOUR

Suffix

Business Name

DAVID ALAN BALFOUR OD

Original Issue Date

04/04/1996

Effective Date

03/19/2012

Expiration Date

03/31/2014

City

BUSHNELL

State

Zip

61422

County

MCDONOUGH

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/09/2014