AVERY N SHULMAN OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****26

License Status

NOT RENEWED

Business

Title

First Name

AVERY

Middle

Last Name

SHULMAN

Business Name

AVERY N SHULMAN OD

Original Issue Date

09/30/1996

Effective Date

01/18/2006

Expiration Date

03/31/2008

City

SOUTH ELGIN

State

Zip

60177

County

KANE

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

05/02/2008