JAMES A FARLIK 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

JAMES A

Last Name

FARLIK

Business Name

JAMES A FARLIK

Original Issue Date

04/17/1996

Effective Date

02/08/2016

Expiration Date

03/31/2018

City

CANTON

State

Zip

61520

County

FULTON

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

06/19/2018