KRISTA RAE MATHSON 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

KRISTA

Middle

RAE

Last Name

MATHSON

Business Name

KRISTA RAE MATHSON

Original Issue Date

02/08/2016

Effective Date

01/27/2020

Expiration Date

05/31/2022

City

CHICAGO

State

Zip

60613

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/27/2022