ROGER HABIB OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****42

License Status

NOT RENEWED

Business

Title

First Name

ROGER

Last Name

HABIB

Business Name

ROGER HABIB OD

Original Issue Date

09/16/2008

Effective Date

09/16/2008

Expiration Date

03/31/2010

City

CHICAGO

State

Zip

60614

County

COOK

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/04/2010