STUART SHERWIN LEVINE OD 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

STUART

Middle

SHERWIN

Last Name

LEVINE

Suffix

Business Name

STUART SHERWIN LEVINE OD

Original Issue Date

03/21/2000

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

05/04/2010