MAI N CHU Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****29

License Status

NOT RENEWED

Business

First Name

MAI

Middle

Last Name

CHU

Business Name

MAI N CHU

Original Issue Date

08/24/2021

Effective Date

08/24/2021

Expiration Date

05/31/2022

City

LAKE BLUFF

State

Zip

60044

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

07/27/2022