CHRISTINA MARIA TWARDOWSKI OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****32

License Status

NOT RENEWED

Business

First Name

CHRISTINA

Middle

MARIA

Last Name

TWARDOWSKI

Suffix

Business Name

CHRISTINA MARIA TWARDOWSKI OD

Original Issue Date

07/16/2010

Effective Date

07/16/2010

Expiration Date

03/31/2012

City

CHICAGO RIDGE

State

Zip

60415

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/16/2012