EDGAR GREGG DICKEY Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****47

License Status

NOT RENEWED

Business

First Name

EDGAR GREGG

Last Name

DICKEY

Business Name

EDGAR GREGG DICKEY

Original Issue Date

04/12/1996

Effective Date

03/18/2014

Expiration Date

03/31/2016

City

FAIRFIELD

State

Zip

62837

County

WAYNE

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/20/2016