ERIC A AHLVIN 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

ERIC A

Last Name

AHLVIN

Business Name

ERIC A AHLVIN

Original Issue Date

06/17/1996

Effective Date

02/24/2014

Expiration Date

03/31/2016

City

GALENA

State

Zip

61036

County

JO DAVIESS

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/20/2016