JENNIFER ANN VICENTE 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

JENNIFER

Middle

ANN

Last Name

VICENTE

Business Name

JENNIFER ANN VICENTE OD

Original Issue Date

10/04/2017

Effective Date

01/10/2020

Expiration Date

05/31/2022

City

GLENVIEW

State

Zip

60026

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

07/27/2022