SUSANA TOLEDO Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****07

License Status

NOT RENEWED

Business

First Name

SUSANA

Last Name

TOLEDO

Business Name

SUSANA TOLEDO

Original Issue Date

10/30/2013

Effective Date

03/05/2014

Expiration Date

03/31/2016

City

CHICAGO

State

Zip

60638

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/20/2016