ROGER C CROLAND OD 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

ROGER

Middle

Last Name

CROLAND

Suffix

Business Name

ROGER C CROLAND OD

Original Issue Date

03/28/2008

Effective Date

03/21/2018

Expiration Date

09/30/2020

City

PEORIA

State

Zip

61614

County

PEORIA

Specialty/Qualifier

HOSPITAL/CLINIC

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/14/2021