SHARON RABENS MAITINO OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****16

License Status

NOT RENEWED

Business

First Name

SHARON RABENS

Last Name

MAITINO

Suffix

Business Name

SHARON RABENS MAITINO OD

Original Issue Date

08/28/1996

Expiration Date

03/31/1998

City

CHICAGO

State

Zip

60640

County

COOK

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

01/18/2006