AMY LYNN LAGINA Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****41

License Status

NOT RENEWED

Business

First Name

AMY

Middle

LYNN

Last Name

LAGINA

Business Name

AMY LYNN LAGINA

Original Issue Date

10/08/2004

Effective Date

03/05/2012

Expiration Date

03/31/2014

City

CHICAGO

State

Zip

60641

County

COOK

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/06/2014