GEOFFREY W GOODFELLOW Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****46

License Status

NOT RENEWED

Business

First Name

GEOFFREY

Middle

Last Name

GOODFELLOW

Business Name

GEOFFREY W GOODFELLOW

Original Issue Date

08/16/2001

Effective Date

01/16/2018

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021