CHARLES G VICKERS OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****50

License Status

NOT RENEWED

Business

First Name

CHARLES G

Last Name

VICKERS

Suffix

Business Name

CHARLES G VICKERS OD

Original Issue Date

04/04/1996

Effective Date

05/18/2000

Expiration Date

03/31/2000

City

WESTCHESTER

State

Zip

60154

County

COOK

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

09/11/2005