SVETLANA FARBMAN PIKUS 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

SVETLANA

Middle

FARBMAN

Last Name

PIKUS

Suffix

Business Name

SVETLANA FARBMAN PIKUS OD

Original Issue Date

07/01/2004

Effective Date

07/01/2004

Expiration Date

03/31/2006

City

GURNEE

State

Zip

60031

County

LAKE

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

05/11/2006