CASSANDRA ANNE KOUTNIK OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****16

License Status

NOT RENEWED

Business

Title

First Name

CASSANDRA

Middle

ANNE

Last Name

KOUTNIK

Business Name

CASSANDRA ANNE KOUTNIK OD

Original Issue Date

08/27/2015

Effective Date

03/09/2016

Expiration Date

03/31/2018

City

CHICAGO

State

Zip

60622

County

COOK

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

06/19/2018