ERWIN P CABELA OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****20

License Status

NOT RENEWED

Business

First Name

ERWIN

Middle

Last Name

CABELA

Suffix

Business Name

ERWIN P CABELA OD

Original Issue Date

02/20/2003

Effective Date

04/05/2004

Expiration Date

03/31/2006

City

BOLINGBROOK

State

Zip

60440

County

WILL

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

05/11/2006