ERIC A BAAS OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****25

License Status

NOT RENEWED

Business

Title

First Name

ERIC

Middle

Last Name

BAAS

Business Name

ERIC A BAAS OD

Original Issue Date

07/31/2006

Effective Date

01/28/2020

Expiration Date

05/31/2022

City

CHICAGO

State

Zip

60647

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

07/27/2022