RAMONA LORRAINE BAUMFALK OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****18

License Status

NOT RENEWED

Business

First Name

RAMONA

Middle

LORRAINE

Last Name

BAUMFALK

Suffix

Business Name

RAMONA LORRAINE BAUMFALK OD

Original Issue Date

07/20/2006

Effective Date

07/20/2006

Expiration Date

03/31/2008

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

05/02/2008