PAUL J LEDERER 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

PAUL J

Last Name

LEDERER

Business Name

PAUL J LEDERER

Original Issue Date

05/02/2005

Effective Date

03/19/2018

Expiration Date

09/30/2020

City

ARLINGTON HEIGHTS

State

Zip

60004

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/14/2021