ROGER C CROLAND OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****73

License Status

NOT RENEWED

Business

First Name

ROGER

Middle

Last Name

CROLAND

Suffix

Business Name

ROGER C CROLAND OD

Original Issue Date

11/06/1997

Effective Date

03/22/2004

Expiration Date

03/31/2006

City

PEORIA

State

Zip

61604

County

PEORIA

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

05/11/2006