CHARLES E MCCOLLUM 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

CHARLES E

Last Name

MCCOLLUM

Business Name

CHARLES E MCCOLLUM

Original Issue Date

09/06/1996

Expiration Date

03/31/1998

City

CHRISTOPHER

State

Zip

62822

County

FRANKLIN

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

01/18/2006