TRACY C STIMPSON 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

TRACY C

Last Name

STIMPSON

Suffix

Business Name

TRACY C STIMPSON OD

Original Issue Date

11/19/1996

Effective Date

04/02/2018

Expiration Date

09/30/2020

City

LA GRANGE

State

Zip

60525

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

IV V

Ever Disciplined

LastModifiedDate

01/14/2021