ANNE SPIES ROZWAT Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****14

License Status

NOT RENEWED

Business

First Name

ANNE

Middle

SPIES

Last Name

ROZWAT

Business Name

ANNE SPIES ROZWAT

Original Issue Date

06/13/1996

Effective Date

02/05/2016

Expiration Date

03/31/2018

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

06/19/2018