MICHAEL S MICHAELS OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****02

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

Last Name

MICHAELS

Suffix

Business Name

MICHAEL S MICHAELS OD

Original Issue Date

03/08/2012

Effective Date

01/04/2020

Expiration Date

05/31/2022

City

WHEELING

State

Zip

60090

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

07/27/2022