ANA MILENA SURY OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****27

License Status

NOT RENEWED

Business

First Name

ANA

Middle

MILENA

Last Name

SURY

Suffix

Business Name

ANA MILENA SURY OD

Original Issue Date

05/20/1999

Effective Date

05/24/2022

Expiration Date

03/31/2024

City

BERWYN

State

Zip

60402

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

02/05/2025