ELIZABETH WICKWARE OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****36

License Status

NOT RENEWED

Business

Title

First Name

ELIZABETH

Last Name

WICKWARE

Business Name

ELIZABETH WICKWARE OD

Original Issue Date

09/01/2021

Effective Date

09/01/2021

Expiration Date

05/31/2022

City

CHICAGO

State

Zip

60615

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/27/2022