PAUL NEWMAN OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****01

License Status

NOT RENEWED

Business

First Name

PAUL

Last Name

NEWMAN

Suffix

Business Name

PAUL NEWMAN OD

Original Issue Date

06/04/1996

Effective Date

02/06/2004

Expiration Date

03/31/2006

City

SKOKIE

State

Zip

60076

County

COOK

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

05/11/2006