PETER S NELSON Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****88

License Status

NOT RENEWED

Business

First Name

PETER S

Last Name

NELSON

Business Name

PETER S NELSON

Original Issue Date

04/22/1996

Effective Date

02/10/2014

Expiration Date

03/31/2016

City

ISLAND LAKE

State

Zip

60042

County

LAKE

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/20/2016