RONALD E SERFOSS OD 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

RONALD

Middle

Last Name

SERFOSS

Suffix

Business Name

RONALD E SERFOSS OD

Original Issue Date

05/07/1996

Effective Date

03/10/2016

Expiration Date

03/31/2018

City

DANVILLE

State

Zip

61832

County

VERMILION

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/19/2018