CONNIE J CRAWFORD OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****91

License Status

NOT RENEWED

Business

First Name

CONNIE

Middle

Last Name

CRAWFORD

Suffix

Business Name

CONNIE J CRAWFORD OD

Original Issue Date

04/09/1997

Effective Date

01/12/2000

Expiration Date

03/31/1998

City

ANTIOCH

State

Zip

60002

County

LAKE

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

01/18/2006