DIANA G FURMAN OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****12

License Status

NOT RENEWED

Business

First Name

DIANA G

Last Name

FURMAN

Suffix

Business Name

DIANA G FURMAN OD

Original Issue Date

06/13/1996

Effective Date

05/18/2000

Expiration Date

03/31/2000

City

HIGHLAND PARK

State

Zip

60035

County

LAKE

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

09/11/2005