MARY ELAINE HERNANDEZ SILVESTRE Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****26

License Status

NOT RENEWED

Business

First Name

MARY

Middle

ELAINE HERNANDEZ

Last Name

SILVESTRE

Business Name

MARY ELAINE HERNANDEZ SILVESTRE

Original Issue Date

06/13/2012

Effective Date

06/13/2012

Expiration Date

03/31/2014

City

CHICAGO

State

Zip

60636

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/06/2014