LEA RENE SAWICKI Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****67

License Status

NOT RENEWED

Business

First Name

LEA

Middle

RENE

Last Name

SAWICKI

Business Name

LEA RENE SAWICKI

Original Issue Date

07/01/2015

Effective Date

02/16/2016

Expiration Date

03/31/2018

City

DANVILLE

State

Zip

61832

County

VERMILION

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/19/2018