REID ERIC MLSNA 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

REID

Middle

ERIC

Last Name

MLSNA

Suffix

Business Name

REID ERIC MLSNA OD

Original Issue Date

10/20/1998

Effective Date

02/19/2004

Expiration Date

03/31/2006

City

WHEATON

State

Zip

60187

County

DUPAGE

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

05/11/2006