BRIAN S OSWALD OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****84

License Status

NOT RENEWED

Business

First Name

BRIAN S

Last Name

OSWALD

Suffix

Business Name

BRIAN S OSWALD OD

Original Issue Date

05/10/2000

Effective Date

03/10/2010

Expiration Date

03/31/2012

City

MOKENA

State

Zip

60448

County

WILL

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/16/2012