R CLIFTON CROMPTON JR OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****63

License Status

NOT RENEWED

Business

First Name

Middle

CLIFTON

Last Name

CROMPTON

Suffix

JR OD

Business Name

R CLIFTON CROMPTON JR OD

Original Issue Date

05/30/1996

Effective Date

04/10/2018

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60630

County

COOK

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/14/2021