JOHN R LANG 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

JOHN

Middle

Last Name

LANG

Suffix

Business Name

JOHN R LANG OD

Original Issue Date

06/17/2008

Effective Date

02/23/2016

Expiration Date

03/31/2018

City

MELROSE PARK

State

Zip

60160

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

06/19/2018