MATTHEW MICHAEL MARSICH OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****04

License Status

NOT RENEWED

Business

First Name

MATTHEW

Middle

MICHAEL

Last Name

MARSICH

Suffix

Business Name

MATTHEW MICHAEL MARSICH OD

Original Issue Date

10/04/2001

Effective Date

02/25/2004

Expiration Date

03/31/2006

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

05/11/2006