NATALIE A ROTH CRAIN OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****12

License Status

NOT RENEWED

Business

Title

First Name

NATALIE

Middle

Last Name

ROTH CRAIN

Business Name

NATALIE A ROTH CRAIN OD

Original Issue Date

07/22/2022

Effective Date

07/22/2022

Expiration Date

03/31/2024

City

CHICAGO

State

Zip

60629

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025