JENNIFER GRACE SLOTWINSKI 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

JENNIFER

Middle

GRACE

Last Name

SLOTWINSKI

Business Name

JENNIFER GRACE SLOTWINSKI

Original Issue Date

08/13/2008

Effective Date

04/01/2014

Expiration Date

03/31/2016

City

BLOOMINGDALE

State

Zip

60108

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/20/2016