FRANKLIN JAY RIVENSON 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

FRANKLIN

Middle

JAY

Last Name

RIVENSON

Suffix

Business Name

FRANKLIN JAY RIVENSON OD

Original Issue Date

07/11/2000

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

WEST DUNDEE

State

Zip

60118

County

COOK

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

09/11/2005