PAUL R BOYT 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

PAUL R

Last Name

BOYT

Business Name

PAUL R BOYT

Original Issue Date

06/15/2000

Effective Date

01/16/2018

Expiration Date

09/30/2020

City

MARION

State

Zip

62959

County

WILLIAMSON

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/14/2021