REGINO JOHN FLORA 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

REGINO

Middle

JOHN

Last Name

FLORA

Business Name

REGINO JOHN FLORA OD

Original Issue Date

12/18/1997

Effective Date

04/15/2002

Expiration Date

03/31/2002

City

CRESTWOOD

State

Zip

60445

County

COOK

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

01/18/2006