BERTA NEWTON OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****84

License Status

NOT RENEWED

Business

Title

First Name

BERTA

Last Name

NEWTON

Business Name

BERTA NEWTON OD

Original Issue Date

07/12/2017

Effective Date

07/12/2017

Expiration Date

03/31/2018

City

ANTIOCH

State

Zip

60002

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/19/2018