NATHAN ALAN CROUCH OD Optometrist License verification

Business Entity

ACTIVE

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****85

License Status

ACTIVE

Business

Title

First Name

NATHAN

Middle

ALAN

Last Name

CROUCH

Business Name

NATHAN ALAN CROUCH OD

Original Issue Date

06/23/2004

Effective Date

01/28/2026

Expiration Date

03/31/2028

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/28/2026