EDWARD S JARKA OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****95

License Status

NOT RENEWED

Business

First Name

EDWARD

Middle

Last Name

JARKA

Suffix

Business Name

EDWARD S JARKA OD

Original Issue Date

11/26/1997

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

DANVILLE

State

Zip

61832

County

VERMILION

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

01/18/2006