LINDSAY MARIE PETRIE Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****70

License Status

NOT RENEWED

Business

First Name

LINDSAY

Middle

MARIE

Last Name

PETRIE

Business Name

LINDSAY MARIE PETRIE

Original Issue Date

07/27/2009

Effective Date

07/27/2009

Expiration Date

03/31/2010

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/04/2010