DONALD F DYSARZ 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

DONALD F

Last Name

DYSARZ

Business Name

DONALD F DYSARZ

Original Issue Date

08/25/1999

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

HARVARD

State

Zip

60033

County

MCHENRY

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

01/18/2006