VALARIE L CONRAD 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

VALARIE L

Last Name

CONRAD

Business Name

VALARIE L CONRAD

Original Issue Date

06/04/1996

Effective Date

02/03/2016

Expiration Date

03/31/2018

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

06/19/2018