PETER G VLASIS OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****36

License Status

NOT RENEWED

Business

First Name

PETER

Middle

Last Name

VLASIS

Suffix

Business Name

PETER G VLASIS OD

Original Issue Date

06/04/1996

Effective Date

02/20/2020

Expiration Date

05/31/2022

City

LAKE FOREST

State

Zip

60045

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

07/27/2022