JACOB BRYSON CONDITT OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****33

License Status

NOT RENEWED

Business

Title

First Name

JACOB

Middle

BRYSON

Last Name

CONDITT

Business Name

JACOB BRYSON CONDITT OD

Original Issue Date

08/24/2021

Effective Date

08/24/2021

Expiration Date

05/31/2022

City

CHICAGO

State

Zip

60659

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

07/27/2022