DAWN M BIRCH OD - Optometrist License in Illinois | # 34*****22

DAWN M BIRCH OD

Business Entity

INOPERATIVE

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****22

License Status

INOPERATIVE

Business

N

First Name

DAWN

Middle

M

Last Name

BIRCH

Suffix

OD

Business Name

DAWN M BIRCH OD

Original Issue Date

01/03/2006

Effective Date

05/06/2024

Expiration Date

03/31/2026

State

IL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

N

LastModifiedDate

01/08/2026