PATRICIA A SALAZAR OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****00

License Status

NOT RENEWED

Business

Title

First Name

PATRICIA

Middle

Last Name

SALAZAR

Business Name

PATRICIA A SALAZAR OD

Original Issue Date

06/29/2010

Effective Date

02/19/2016

Expiration Date

03/31/2018

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

06/19/2018