PRESTON LANGDON SMITH OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****24

License Status

NOT RENEWED

Business

Title

First Name

PRESTON

Middle

LANGDON

Last Name

SMITH

Business Name

PRESTON LANGDON SMITH OD

Original Issue Date

03/13/2018

Effective Date

03/13/2018

Expiration Date

09/30/2020

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021