STEVE MARK ANTHONY CHRISTENSEN 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

STEVE MARK

Middle

ANTHONY

Last Name

CHRISTENSEN

Suffix

Business Name

STEVE MARK ANTHONY CHRISTENSEN OD

Original Issue Date

07/29/1998

Effective Date

07/29/1998

Expiration Date

03/31/2000

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

09/11/2005