SUMI LEE 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

SUMI

Last Name

LEE

Suffix

Business Name

SUMI LEE OD

Original Issue Date

04/30/2002

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

OAK PARK

State

Zip

60302

County

COOK

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

01/18/2006