STACY ELLEN CORIN OLSWANG OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****28

License Status

NOT RENEWED

Business

Title

First Name

STACY

Middle

ELLEN CORIN

Last Name

OLSWANG

Business Name

STACY ELLEN CORIN OLSWANG OD

Original Issue Date

05/20/1999

Effective Date

04/01/2010

Expiration Date

03/31/2012

City

SCHAUMBURG

State

Zip

60173

County

COOK

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/16/2012