ELIJAH RAY RISMAN Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****47

License Status

NOT RENEWED

Business

First Name

ELIJAH

Middle

RAY

Last Name

RISMAN

Business Name

ELIJAH RAY RISMAN

Original Issue Date

05/29/2018

Effective Date

05/29/2018

Expiration Date

09/30/2020

City

WESTMONT

State

Zip

60559

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021