FERNAND FELIPE JIMENEZ OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****15

License Status

NOT RENEWED

Business

First Name

FERNAND

Middle

FELIPE

Last Name

JIMENEZ

Suffix

Business Name

FERNAND FELIPE JIMENEZ OD

Original Issue Date

05/18/2009

Effective Date

04/04/2012

Expiration Date

03/31/2014

City

CHICAGO

State

Zip

60605

County

COOK

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/06/2014