MICHAEL J TRAD OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****37

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

Last Name

TRAD

Suffix

Business Name

MICHAEL J TRAD OD

Original Issue Date

04/17/1996

Effective Date

03/05/2018

Expiration Date

09/30/2020

City

HEWITT

State

Zip

54441

County

LA SALLE

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/14/2021