ERIKA AMUNDSON MELCHIORRE OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****39

License Status

NOT RENEWED

Business

First Name

ERIKA

Middle

AMUNDSON

Last Name

MELCHIORRE

Suffix

Business Name

ERIKA AMUNDSON MELCHIORRE OD

Original Issue Date

07/29/2005

Effective Date

04/04/2012

Expiration Date

03/31/2014

City

CHICAGO

State

Zip

60614

County

COOK

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/06/2014