DANIELLE JOY IRVINE Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****28

License Status

NOT RENEWED

Business

First Name

DANIELLE

Middle

JOY

Last Name

IRVINE

Business Name

DANIELLE JOY IRVINE

Original Issue Date

06/19/2012

Effective Date

01/12/2018

Expiration Date

09/30/2020

City

WHEATON

State

Zip

60187

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021