PAUL R BOYT Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****89

License Status

NOT RENEWED

Business

First Name

PAUL R

Last Name

BOYT

Business Name

PAUL R BOYT

Original Issue Date

03/29/2002

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

CARTERVILLE

State

Zip

62918

County

WILLIAMSON

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

01/18/2006