DOUGLAS T SHUMAKER 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

DOUGLAS

Middle

Last Name

SHUMAKER

Suffix

Business Name

DOUGLAS T SHUMAKER OD

Original Issue Date

10/02/1998

Effective Date

05/18/2000

Expiration Date

03/31/2000

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/18/2006