NEIL F DAVID 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

NEIL

Middle

Last Name

DAVID

Business Name

NEIL F DAVID

Original Issue Date

08/15/2013

Effective Date

08/15/2013

Expiration Date

03/31/2014

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III

Ever Disciplined

LastModifiedDate

05/06/2014