WILLIAM R SKUTTA Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****44

License Status

NOT RENEWED

Business

First Name

WILLIAM R

Last Name

SKUTTA

Business Name

WILLIAM R SKUTTA

Original Issue Date

04/07/1997

Effective Date

03/12/2020

Expiration Date

05/31/2022

City

SANDWICH

State

Zip

60548

County

DEKALB

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

07/27/2022