SUSAN M PENNER 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

SUSAN M

Last Name

PENNER

Suffix

Business Name

SUSAN M PENNER OD

Original Issue Date

03/27/1997

Effective Date

01/18/2006

Expiration Date

03/31/2008

City

ELGIN

State

Zip

60123

County

KANE

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

05/02/2008