ALEXANDRA MARIE COPELAND OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****08

License Status

NOT RENEWED

Business

Title

First Name

ALEXANDRA

Middle

MARIE

Last Name

COPELAND

Business Name

ALEXANDRA MARIE COPELAND OD

Original Issue Date

07/11/2016

Effective Date

07/11/2016

Expiration Date

03/31/2018

City

GRAYSLAKE

State

Zip

60030

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III

Ever Disciplined

LastModifiedDate

06/19/2018