JAMES C WALTER OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****39

License Status

NOT RENEWED

Business

First Name

JAMES C

Last Name

WALTER

Suffix

Business Name

JAMES C WALTER OD

Original Issue Date

06/10/1996

Effective Date

02/05/2020

Expiration Date

05/31/2022

City

OAK FOREST

State

Zip

60452

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

07/27/2022