TED W BROWN OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****72

License Status

NOT RENEWED

Business

First Name

TED W

Last Name

BROWN

Suffix

Business Name

TED W BROWN OD

Original Issue Date

11/05/1998

Effective Date

05/18/2000

Expiration Date

03/31/2000

City

MARION

State

Zip

62959

County

WILLIAMSON

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

09/11/2005