PHILLIP ROBERT ELSTON OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****27

License Status

CANCELLED

Business

Title

First Name

PHILLIP

Middle

ROBERT

Last Name

ELSTON

Business Name

PHILLIP ROBERT ELSTON OD

Original Issue Date

07/18/2005

Effective Date

01/18/2006

Expiration Date

03/31/2008

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

01/10/2008