JON WILKINS HOUCK OD 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

JON

Middle

WILKINS

Last Name

HOUCK

Suffix

Business Name

JON WILKINS HOUCK OD

Original Issue Date

10/16/2003

Effective Date

01/18/2006

Expiration Date

03/31/2008

City

CHICAGO

State

Zip

60619

County

COOK

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

05/02/2008