FATIMA TITILOPE IBRAHIM Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****33

License Status

NOT RENEWED

Business

First Name

FATIMA

Middle

TITILOPE

Last Name

IBRAHIM

Business Name

FATIMA TITILOPE IBRAHIM

Original Issue Date

08/18/2016

Effective Date

03/20/2018

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60640

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021