EDWARD R COPE Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****25

License Status

NOT RENEWED

Business

First Name

EDWARD R

Last Name

COPE

Business Name

EDWARD R COPE

Original Issue Date

05/15/1997

Effective Date

05/18/2000

Expiration Date

03/31/2000

City

ROSCOE

State

Zip

61073

County

BOONE

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

09/11/2005