RENEE T DUNLAP OD 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

RENEE

Middle

Last Name

DUNLAP

Suffix

Business Name

RENEE T DUNLAP OD

Original Issue Date

06/13/1996

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/04/2010