CHRISTINA MARIE MARTIN OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****39

License Status

NOT RENEWED

Business

Title

First Name

CHRISTINA

Middle

MARIE

Last Name

MARTIN

Business Name

CHRISTINA MARIE MARTIN OD

Original Issue Date

07/22/2013

Effective Date

02/08/2016

Expiration Date

03/31/2018

City

LA GRANGE

State

Zip

60525

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

06/19/2018