CARLA MARIE DARAK OD 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

CARLA

Middle

MARIE

Last Name

DARAK

Suffix

Business Name

CARLA MARIE DARAK OD

Original Issue Date

08/20/1998

Effective Date

04/15/2002

Expiration Date

03/31/2002

City

CHICAGO

State

Zip

60614

County

COOK

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

09/11/2005