LESLEY K OLSWING OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****18

License Status

NOT RENEWED

Business

Title

First Name

LESLEY

Middle

Last Name

OLSWING

Business Name

LESLEY K OLSWING OD

Original Issue Date

06/16/2009

Effective Date

04/09/2010

Expiration Date

03/31/2012

City

SWANSEA

State

Zip

62226

County

SAINT CLAIR

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/16/2012