MICHAEL A WILLIAMS OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****16

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

Last Name

WILLIAMS

Suffix

Business Name

MICHAEL A WILLIAMS OD

Original Issue Date

07/12/2000

Effective Date

03/28/2022

Expiration Date

03/31/2024

City

COLLINSVILLE

State

Zip

62208

County

JEFFERSON

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

02/05/2025