MATTHEW JEREMY SKRDLA OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****40

License Status

NOT RENEWED

Business

First Name

MATTHEW

Middle

JEREMY

Last Name

SKRDLA

Suffix

Business Name

MATTHEW JEREMY SKRDLA OD

Original Issue Date

09/06/2000

Effective Date

04/15/2002

Expiration Date

03/31/2002

City

CHICAGO

State

Zip

60638

County

COOK

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

09/11/2005