JOHN E BROTHERS OD 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

JOHN

Middle

Last Name

BROTHERS

Suffix

Business Name

JOHN E BROTHERS OD

Original Issue Date

06/04/1996

Effective Date

02/21/2018

Expiration Date

09/30/2020

City

SAVOY

State

Zip

61874

County

CHAMPAIGN

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/14/2021