FREDERICK W SCHWAGER OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****14

License Status

NOT RENEWED

Business

First Name

FREDERICK

Middle

Last Name

SCHWAGER

Suffix

Business Name

FREDERICK W SCHWAGER OD

Original Issue Date

05/30/1996

Effective Date

02/07/2012

Expiration Date

03/31/2014

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/06/2014