DANIEL HANACEK Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****19

License Status

NOT RENEWED

Business

First Name

DANIEL

Last Name

HANACEK

Business Name

DANIEL HANACEK

Original Issue Date

07/27/2021

Effective Date

07/27/2021

Expiration Date

05/31/2022

City

CHICAGO

State

Zip

60647

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/27/2022