DAVID PHILLIP SONNENBURG OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****56

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

PHILLIP

Last Name

SONNENBURG

Suffix

Business Name

DAVID PHILLIP SONNENBURG OD

Original Issue Date

08/09/2010

Effective Date

02/06/2012

Expiration Date

03/31/2014

City

PEORIA

State

Zip

61615

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/06/2014