TRACY LYNN MATCHINSKI OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****05

License Status

NOT RENEWED

Business

Title

First Name

TRACY

Middle

LYNN

Last Name

MATCHINSKI

Business Name

TRACY LYNN MATCHINSKI OD

Original Issue Date

05/01/2002

Effective Date

03/06/2008

Expiration Date

03/31/2010

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

05/04/2010