PAUL H BASTERMAJIAN 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

PAUL

Middle

Last Name

BASTERMAJIAN

Business Name

PAUL H BASTERMAJIAN

Original Issue Date

03/24/2009

Effective Date

02/09/2010

Expiration Date

03/31/2012

City

JOLIET

State

Zip

60435

County

WILL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

IV V

Ever Disciplined

LastModifiedDate

05/16/2012