MARIA A MOORE 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

MARIA

Middle

Last Name

MOORE

Suffix

Business Name

MARIA A MOORE OD

Original Issue Date

01/27/2006

Effective Date

03/21/2016

Expiration Date

03/31/2018

City

CHICAGO RIDGE

State

Zip

60415

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

06/19/2018