SANDRA STEIN BLOCK OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****42

License Status

NOT RENEWED

Business

First Name

SANDRA

Middle

STEIN

Last Name

BLOCK

Suffix

Business Name

SANDRA STEIN BLOCK OD

Original Issue Date

10/07/1997

Effective Date

01/12/2000

Expiration Date

03/31/1998

City

DES PLAINES

State

Zip

60016

County

COOK

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

01/18/2006