JEROME AGREST OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****43

License Status

NOT RENEWED

Business

Title

First Name

JEROME

Last Name

AGREST

Business Name

JEROME AGREST OD

Original Issue Date

09/06/2000

Effective Date

02/05/2016

Expiration Date

03/31/2018

City

GLENVIEW

State

Zip

60025

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/19/2018