REID A PETTIT 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

REID A

Last Name

PETTIT

Business Name

REID A PETTIT

Original Issue Date

06/17/1996

Effective Date

03/04/2014

Expiration Date

03/31/2016

City

PONTIAC

State

Zip

61764

County

LIVINGSTON

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/20/2016