JEANIE C LUCY OD 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

JEANIE

Middle

Last Name

LUCY

Suffix

Business Name

JEANIE C LUCY OD

Original Issue Date

09/26/2000

Effective Date

03/20/2014

Expiration Date

03/31/2016

City

CHICAGO

State

Zip

60603

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/20/2016