STEPHEN J STOREY 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

STEPHEN J

Last Name

STOREY

Business Name

STEPHEN J STOREY

Original Issue Date

05/26/1998

Effective Date

01/21/2014

Expiration Date

03/31/2016

City

DEKALB

State

Zip

60115

County

DEKALB

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/20/2016