JOHN D COALTER OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****52

License Status

NOT RENEWED

Business

First Name

JOHN

Middle

Last Name

COALTER

Suffix

Business Name

JOHN D COALTER OD

Original Issue Date

10/24/1997

Effective Date

03/29/2012

Expiration Date

03/31/2014

City

WHEATON

State

Zip

60187

County

DUPAGE

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/06/2014