ALLA MALISHKEVICH OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****21

License Status

NOT RENEWED

Business

First Name

ALLA

Last Name

MALISHKEVICH

Suffix

Business Name

ALLA MALISHKEVICH OD

Original Issue Date

08/18/2004

Effective Date

02/29/2016

Expiration Date

03/31/2018

City

SKOKIE

State

Zip

60076

County

COOK

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

06/19/2018