SCOTT ALAN CHAVIN 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

SCOTT

Middle

ALAN

Last Name

CHAVIN

Suffix

Business Name

SCOTT ALAN CHAVIN OD

Original Issue Date

07/07/1996

Effective Date

03/09/2020

Expiration Date

05/31/2022

City

BERWYN

State

Zip

60402

County

COOK

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

07/27/2022