CHRISTOPHER MICHAEL SCHRICK OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****99

License Status

NOT RENEWED

Business

First Name

CHRISTOPHER

Middle

MICHAEL

Last Name

SCHRICK

Suffix

Business Name

CHRISTOPHER MICHAEL SCHRICK OD

Original Issue Date

10/28/1999

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

HIGHLAND

State

Zip

62249

County

MADISON

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

09/11/2005