CHAD MICHAEL PARKS OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****40

License Status

NOT RENEWED

Business

Title

First Name

CHAD

Middle

MICHAEL

Last Name

PARKS

Business Name

CHAD MICHAEL PARKS OD

Original Issue Date

10/14/2016

Effective Date

02/20/2020

Expiration Date

05/31/2022

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/27/2022