ELIOT GRIFEN MASEK 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

ELIOT

Middle

GRIFEN

Last Name

MASEK

Business Name

ELIOT GRIFEN MASEK

Original Issue Date

07/09/2010

Effective Date

07/09/2010

Expiration Date

03/31/2012

City

CHICAGO

State

Zip

60616

County

COOK

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/16/2012