DAVID J CASPER OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****76

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

Last Name

CASPER

Suffix

Business Name

DAVID J CASPER OD

Original Issue Date

03/22/2002

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

PONTIAC

State

Zip

61764

County

LIVINGSTON

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/04/2010