JOHN C ENGSTROM Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****20

License Status

NOT RENEWED

Business

First Name

JOHN C

Last Name

ENGSTROM

Business Name

JOHN C ENGSTROM

Original Issue Date

11/19/1996

Effective Date

01/04/2020

Expiration Date

05/31/2022

City

ROLLING MEADOWS

State

Zip

60008

County

COOK

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

07/27/2022