UNBREEN YASIN OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****11

License Status

NOT RENEWED

Business

First Name

UNBREEN

Last Name

YASIN

Suffix

Business Name

UNBREEN YASIN OD

Original Issue Date

03/19/2007

Effective Date

03/20/2018

Expiration Date

09/30/2020

City

LOMBARD

State

Zip

60148

County

DUPAGE

Specialty/Qualifier

RETAIL PHARMACY

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/14/2021