MALGORZATA MAGDALENA RICCARDI OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****10

License Status

NOT RENEWED

Business

Title

First Name

MALGORZATA

Middle

MAGDALENA

Last Name

RICCARDI

Business Name

MALGORZATA MAGDALENA RICCARDI OD

Original Issue Date

10/24/2019

Effective Date

01/23/2020

Expiration Date

05/31/2022

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/27/2022