REGINO JOHN FLORA OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****38

License Status

NOT RENEWED

Business

Title

First Name

REGINO

Middle

JOHN

Last Name

FLORA

Business Name

REGINO JOHN FLORA OD

Original Issue Date

05/06/2008

Effective Date

05/06/2008

Expiration Date

03/31/2010

City

CRESTWOOD

State

Zip

60445

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

05/04/2010