ROBERT EDMUND BEHAN OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****39

License Status

CANCELLED

Business

First Name

ROBERT

Middle

EDMUND

Last Name

BEHAN

Suffix

Business Name

ROBERT EDMUND BEHAN OD

Original Issue Date

08/01/2002

Effective Date

04/23/2004

Expiration Date

03/31/2004

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

09/11/2005