DAVID P KRUGER OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****42

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

Last Name

KRUGER

Suffix

Business Name

DAVID P KRUGER OD

Original Issue Date

04/04/1997

Effective Date

02/13/2004

Expiration Date

03/31/2006

City

RANTOUL

State

Zip

61866

County

CHAMPAIGN

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

05/11/2006