ELENA A KATZ OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****15

License Status

NOT RENEWED

Business

Title

First Name

ELENA

Middle

Last Name

KATZ

Business Name

ELENA A KATZ OD

Original Issue Date

03/28/2007

Effective Date

01/09/2014

Expiration Date

03/31/2016

City

WILMETTE

State

Zip

60091

County

COOK

Specialty/Qualifier

HOSPITAL/CLINIC

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/20/2016