PETER G VLASIS OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****37

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

02/14/2012

Expiration Date

03/31/2014

City

MUNDELEIN

State

Zip

60060

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

05/06/2014