DANIEL W SHERWOOD OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****59

License Status

NOT RENEWED

Business

First Name

DANIEL

Middle

Last Name

SHERWOOD

Suffix

Business Name

DANIEL W SHERWOOD OD

Original Issue Date

10/02/1996

Effective Date

07/18/2014

Expiration Date

03/31/2016

City

GALESBURG

State

Zip

61401

County

KNOX

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/20/2016