TRENTON GLENN WARNER OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****65

License Status

NOT RENEWED

Business

First Name

TRENTON

Middle

GLENN

Last Name

WARNER

Suffix

Business Name

TRENTON GLENN WARNER OD

Original Issue Date

06/25/2007

Effective Date

05/14/2010

Expiration Date

03/31/2012

City

GREAT LAKES

State

Zip

60088

County

LAKE

Specialty/Qualifier

HOSPITAL/CLINIC

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/16/2012