JOHN R STEWART 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

JOHN R

Last Name

STEWART

Suffix

Business Name

JOHN R STEWART OD

Original Issue Date

08/22/1996

Effective Date

05/18/2000

Expiration Date

03/31/2000

City

DE KALB

State

Zip

60115

County

DEKALB

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

09/11/2005