SHARON M LUCKHARDT Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****74

License Status

NOT RENEWED

Business

First Name

SHARON M

Last Name

LUCKHARDT

Business Name

SHARON M LUCKHARDT

Original Issue Date

06/04/1996

Effective Date

03/26/2012

Expiration Date

03/31/2014

City

WESTMONT

State

Zip

60559

County

DUPAGE

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/06/2014