CHARLES K ATWELL OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****40

License Status

NOT RENEWED

Business

First Name

CHARLES

Middle

Last Name

ATWELL

Suffix

Business Name

CHARLES K ATWELL OD

Original Issue Date

04/22/1996

Effective Date

03/12/2020

Expiration Date

05/31/2022

City

ST CHARLES

State

Zip

60174

County

KANE

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

07/27/2022