PATRICK E DAVIDSON OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****62

License Status

NOT RENEWED

Business

First Name

PATRICK E

Last Name

DAVIDSON

Suffix

Business Name

PATRICK E DAVIDSON OD

Original Issue Date

10/23/1998

Effective Date

05/18/2000

Expiration Date

03/31/2000

City

MONMOUTH

State

Zip

61462

County

WARREN

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

01/18/2006