BRIAN S OSWALD OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****68

License Status

NOT RENEWED

Business

First Name

BRIAN S

Last Name

OSWALD

Suffix

Business Name

BRIAN S OSWALD OD

Original Issue Date

09/15/1999

Effective Date

03/10/2010

Expiration Date

03/31/2012

City

CRESTWOOD

State

Zip

60445

County

COOK

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/16/2012