DAVID R CULVER Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****93

License Status

NOT RENEWED

Business

First Name

DAVID R

Last Name

CULVER

Business Name

DAVID R CULVER

Original Issue Date

04/04/1996

Effective Date

03/07/2016

Expiration Date

03/31/2018

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/19/2018