DAVID F MARTIN OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****46

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

Last Name

MARTIN

Suffix

Business Name

DAVID F MARTIN OD

Original Issue Date

08/05/2005

Effective Date

02/01/2010

Expiration Date

03/31/2012

City

OSWEGO

State

Zip

60543

County

KENDALL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/16/2012