MICHAEL T MORRIS OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****64

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

Last Name

MORRIS

Suffix

Business Name

MICHAEL T MORRIS OD

Original Issue Date

03/01/2002

Effective Date

03/05/2018

Expiration Date

09/30/2020

City

MATTOON

State

Zip

61938

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/14/2021