MEGAN SUZANNE ALLEN OD 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

MEGAN

Middle

SUZANNE

Last Name

ALLEN

Suffix

Business Name

MEGAN SUZANNE ALLEN OD

Original Issue Date

06/22/2007

Effective Date

01/12/2018

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60616

County

COOK

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/14/2021