JOHN F COUILLARD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****53

License Status

NOT RENEWED

Business

First Name

JOHN F

Last Name

COUILLARD

Business Name

JOHN F COUILLARD

Original Issue Date

03/26/1996

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

LEROY

State

Zip

61752

County

MCLEAN

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/04/2010