AUDREY ELIZABETH WOOD OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****11

License Status

NOT RENEWED

Business

Title

First Name

AUDREY

Middle

ELIZABETH

Last Name

WOOD

Business Name

AUDREY ELIZABETH WOOD OD

Original Issue Date

04/12/2012

Effective Date

03/19/2018

Expiration Date

09/30/2020

City

BATAVIA

State

Zip

60510

County

KANE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/14/2021