DAVID R IMES Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****79

License Status

NOT RENEWED

Business

First Name

DAVID R

Last Name

IMES

Business Name

DAVID R IMES

Original Issue Date

08/10/2009

Effective Date

03/01/2012

Expiration Date

03/31/2014

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/09/2014