CHAD R SLAGLE OD Optometrist License verification

Business Entity

ACTIVE

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****65

License Status

ACTIVE

Business

Title

First Name

CHAD

Middle

Last Name

SLAGLE

Business Name

CHAD R SLAGLE OD

Original Issue Date

03/08/2022

Effective Date

01/05/2024

Expiration Date

03/31/2026

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

01/08/2026