MICHAEL J TRAD OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****38

License Status

CANCELLED

Business

First Name

MICHAEL

Middle

Last Name

TRAD

Suffix

Business Name

MICHAEL J TRAD OD

Original Issue Date

01/13/1997

Effective Date

07/07/2005

Expiration Date

03/31/2006

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

01/18/2006