RAMSEY G TANAKATSUBO Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****13

License Status

INACTIVE

Business

First Name

RAMSEY G

Last Name

TANAKATSUBO

Business Name

RAMSEY G TANAKATSUBO

Original Issue Date

05/07/1996

Effective Date

03/19/2018

Expiration Date

09/30/2020

City

OAK PARK

State

Zip

60302

County

COOK

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/04/2020