LARA GUTIERREZ OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****24

License Status

NOT RENEWED

Business

First Name

LARA

Last Name

GUTIERREZ

Suffix

Business Name

LARA GUTIERREZ OD

Original Issue Date

02/26/2003

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

CHICAGO

State

Zip

60614

County

COOK

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

05/04/2010