BRIAN D ATKINS OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****29

License Status

NOT RENEWED

Business

First Name

BRIAN D

Last Name

ATKINS

Suffix

Business Name

BRIAN D ATKINS OD

Original Issue Date

11/21/1996

Effective Date

01/28/2020

Expiration Date

05/31/2022

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

07/27/2022