TRAVIS MICHAEL BEEN 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

TRAVIS

Middle

MICHAEL

Last Name

BEEN

Business Name

TRAVIS MICHAEL BEEN OD

Original Issue Date

07/28/2016

Effective Date

01/12/2018

Expiration Date

09/30/2020

City

DEERFIELD

State

Zip

60015

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021