ALICIA DENEE DERRY OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****38

License Status

NOT RENEWED

Business

First Name

ALICIA

Middle

DENEE

Last Name

DERRY

Suffix

Business Name

ALICIA DENEE DERRY OD

Original Issue Date

08/31/2000

Effective Date

04/15/2002

Expiration Date

03/31/2002

City

OAK BROOK

State

Zip

60521

County

DUPAGE

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

01/18/2006