JOHN R LOFGREN Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****92

License Status

NOT RENEWED

Business

First Name

JOHN R

Last Name

LOFGREN

Business Name

JOHN R LOFGREN

Original Issue Date

05/28/1996

Effective Date

05/18/2000

Expiration Date

03/31/2000

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

09/11/2005