STEPHANIE REBECCA FROMSTEIN 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

STEPHANIE

Middle

REBECCA

Last Name

FROMSTEIN

Business Name

STEPHANIE REBECCA FROMSTEIN

Original Issue Date

06/25/2013

Effective Date

01/12/2018

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/14/2021