JESSILIN MAELIA QUINT 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

JESSILIN

Middle

MAELIA

Last Name

QUINT

Business Name

JESSILIN MAELIA QUINT

Original Issue Date

05/27/2014

Effective Date

05/27/2014

Expiration Date

03/31/2016

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/20/2016