KEVIN L GLANCY OD 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

KEVIN L

Last Name

GLANCY

Suffix

Business Name

KEVIN L GLANCY OD

Original Issue Date

04/08/2003

Effective Date

03/14/2012

Expiration Date

03/31/2014

City

FORSYTH

State

Zip

62535

County

MACON

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/06/2014