CHRISTOPHER JOSEPH DEROSE OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****09

License Status

CANCELLED

Business

First Name

CHRISTOPHER

Middle

JOSEPH

Last Name

DEROSE

Suffix

Business Name

CHRISTOPHER JOSEPH DEROSE OD

Original Issue Date

03/07/2001

Effective Date

01/18/2006

Expiration Date

03/31/2008

City

CHICAGO

State

Zip

60601

County

COOK

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

01/10/2008