JESSICA ELAINE GOEKEN 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

JESSICA

Middle

ELAINE

Last Name

GOEKEN

Suffix

Business Name

JESSICA ELAINE GOEKEN OD

Original Issue Date

04/30/2009

Effective Date

03/11/2016

Expiration Date

03/31/2018

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

06/19/2018