SASHA L RADFORD 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

SASHA

Middle

Last Name

RADFORD

Suffix

Business Name

SASHA L RADFORD OD

Original Issue Date

02/22/2012

Effective Date

11/03/2014

Expiration Date

03/31/2016

City

FAIRBURY

State

Zip

61739

County

LIVINGSTON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III

Ever Disciplined

LastModifiedDate

05/20/2016