KATIE C FOREMAN 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

KATIE

Middle

Last Name

FOREMAN

Business Name

KATIE C FOREMAN

Original Issue Date

07/12/2011

Effective Date

02/29/2016

Expiration Date

03/31/2018

City

CHICAGO

State

Zip

60616

County

COOK

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

06/19/2018