BLAKE WEBSTER DOWELL OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****78

License Status

NOT RENEWED

Business

First Name

BLAKE

Middle

WEBSTER

Last Name

DOWELL OD

Business Name

BLAKE WEBSTER DOWELL OD

Original Issue Date

05/10/2010

Effective Date

01/28/2014

Expiration Date

03/31/2016

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/20/2016