ROXANA COLON 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

ROXANA

Last Name

COLON

Business Name

ROXANA COLON

Original Issue Date

08/14/2013

Effective Date

03/10/2014

Expiration Date

03/31/2016

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/20/2016