JENNIFER LYNN CUSSON 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

JENNIFER

Middle

LYNN

Last Name

CUSSON

Business Name

JENNIFER LYNN CUSSON OD

Original Issue Date

06/13/2013

Effective Date

02/28/2014

Expiration Date

03/31/2016

City

CHICAGO

State

Zip

60616

County

COOK

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/20/2016