CHAD MICHAEL PARKS OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****72

License Status

NOT RENEWED

Business

Title

First Name

CHAD

Middle

MICHAEL

Last Name

PARKS

Business Name

CHAD MICHAEL PARKS OD

Original Issue Date

07/24/2014

Effective Date

02/16/2016

Expiration Date

03/31/2018

City

OREGON

State

Zip

61061

County

OGLE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

06/19/2018