CHAD STEVEN SMITH Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****28

License Status

NOT RENEWED

Business

First Name

CHAD

Middle

STEVEN

Last Name

SMITH

Business Name

CHAD STEVEN SMITH

Original Issue Date

06/01/2001

Effective Date

01/18/2006

Expiration Date

03/31/2008

City

DANVILLE

State

Zip

61832

County

VERMILION

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

05/02/2008