EARL S TOWNSEND 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

EARL

Middle

Last Name

TOWNSEND

Suffix

Business Name

EARL S TOWNSEND OD

Original Issue Date

06/04/1996

Effective Date

03/07/2018

Expiration Date

09/30/2020

City

ZION

State

Zip

60099

County

LAKE

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/14/2021