JULIE CHRISTINE PHILLIPS OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****17

License Status

NOT RENEWED

Business

First Name

JULIE

Middle

CHRISTINE

Last Name

PHILLIPS

Suffix

Business Name

JULIE CHRISTINE PHILLIPS OD

Original Issue Date

07/24/2000

Effective Date

04/15/2002

Expiration Date

03/31/2002

City

WESTMONT

State

Zip

60559

County

DUPAGE

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

09/11/2005