CHARLES E MCCOLLUM Optometrist License verification

Business Entity

ACTIVE

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****28

License Status

ACTIVE

Business

First Name

CHARLES E

Last Name

MCCOLLUM

Business Name

CHARLES E MCCOLLUM

Original Issue Date

09/06/1996

Effective Date

03/09/2026

Expiration Date

03/31/2028

City

MARION

State

Zip

62959

County

WILLIAMSON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

03/09/2026