LARISA SHLEYFER-VISHNEVSKIY OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****13

License Status

NOT RENEWED

Business

First Name

LARISA

Last Name

SHLEYFER-VISHNEVSKIY

Suffix

Business Name

LARISA SHLEYFER-VISHNEVSKIY OD

Original Issue Date

04/18/2012

Effective Date

02/14/2018

Expiration Date

09/30/2020

City

EVANSTON

State

Zip

60201

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/14/2021