MICHEL-ANN E FRASER OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****00

License Status

NOT RENEWED

Business

First Name

MICHEL-ANN

Middle

Last Name

FRASER

Suffix

Business Name

MICHEL-ANN E FRASER OD

Original Issue Date

02/22/2012

Effective Date

08/18/2020

Expiration Date

05/31/2022

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV

Ever Disciplined

LastModifiedDate

07/27/2022