LEVI CHRISTOPHER MANSFIELD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****18

License Status

NOT RENEWED

Business

First Name

LEVI

Middle

CHRISTOPHER

Last Name

MANSFIELD

Business Name

LEVI CHRISTOPHER MANSFIELD

Original Issue Date

01/23/2014

Effective Date

01/23/2014

Expiration Date

03/31/2016

City

VIENNA

State

Zip

62995

County

JOHNSON

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/20/2016