DARCY LYNN GROSTICK 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

DARCY

Middle

LYNN

Last Name

GROSTICK

Business Name

DARCY LYNN GROSTICK

Original Issue Date

07/20/2006

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

CHICAGO

State

Zip

60639

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/04/2010