DAVID A BUCKLEY OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****61

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

Last Name

BUCKLEY

Suffix

Business Name

DAVID A BUCKLEY OD

Original Issue Date

10/13/2000

Effective Date

03/25/2016

Expiration Date

03/31/2018

City

BLOOMINGDALE

State

Zip

60108

County

KANE

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

06/19/2018