ALBERT SIMON LICUP

Business Entity
ACTIVE

Optometrist

OPTOMETRIST CONTROLLED SUBSTANCE

34*****09

ACTIVE

N

ALBERT

SIMON

LICUP

ALBERT SIMON LICUP

07/17/2006

01/08/2026

03/31/2028

HIGHLAND PARK

IL

60035

LAKE

II III IV V

N

01/08/2026