NANCY L KOTTRABA Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****43

License Status

NOT RENEWED

Business

First Name

NANCY L

Last Name

KOTTRABA

Business Name

NANCY L KOTTRABA

Original Issue Date

04/22/1996

Expiration Date

03/31/1998

City

OAK FOREST

State

Zip

60452

County

COOK

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

09/02/2005