WILLIAM A BORDWELL 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

WILLIAM A

Last Name

BORDWELL

Business Name

WILLIAM A BORDWELL

Original Issue Date

05/10/2001

Effective Date

02/21/2018

Expiration Date

09/30/2020

City

GENESEO

State

Zip

61254

County

HENRY

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/14/2021