ALLAN J BRUMMEL OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****15

License Status

NOT RENEWED

Business

First Name

ALLAN

Middle

Last Name

BRUMMEL

Suffix

Business Name

ALLAN J BRUMMEL OD

Original Issue Date

09/16/1997

Effective Date

05/18/2000

Expiration Date

03/31/2000

City

PARIS

State

Zip

61944

County

EDGAR

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

01/18/2006