WILLIAM J IRVINE JR 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

WILLIAM

Middle

Last Name

IRVINE

Suffix

JR OD

Business Name

WILLIAM J IRVINE JR OD

Original Issue Date

11/13/2008

Effective Date

03/26/2012

Expiration Date

03/31/2014

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/06/2014