PAUL A FOREMAN OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****02

License Status

NOT RENEWED

Business

Title

First Name

PAUL

Middle

Last Name

FOREMAN

Business Name

PAUL A FOREMAN OD

Original Issue Date

04/27/2005

Effective Date

04/27/2005

Expiration Date

03/31/2006

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

05/11/2006