CONRAD W STOLL OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****90

License Status

NOT RENEWED

Business

Title

First Name

CONRAD

Middle

Last Name

STOLL

Business Name

CONRAD W STOLL OD

Original Issue Date

11/19/1996

Effective Date

01/23/2014

Expiration Date

03/31/2016

City

WHEATON

State

Zip

60187

County

DUPAGE

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/20/2016