MOLLY O'SHAUGHNESSEY JOHNSON OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****21

License Status

NOT RENEWED

Business

Title

First Name

MOLLY

Middle

O'SHAUGHNESSEY

Last Name

JOHNSON

Business Name

MOLLY O'SHAUGHNESSEY JOHNSON OD

Original Issue Date

06/04/2013

Effective Date

02/26/2014

Expiration Date

03/31/2016

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/20/2016