ALLAN J BRUMMEL OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****80

License Status

NOT RENEWED

Business

First Name

ALLAN

Middle

Last Name

BRUMMEL

Suffix

Business Name

ALLAN J BRUMMEL OD

Original Issue Date

04/24/2000

Effective Date

04/04/2012

Expiration Date

03/31/2014

City

MATTOON

State

Zip

62441

County

CLARK

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/06/2014