BRENDA A SIMONS Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****48

License Status

NOT RENEWED

Business

First Name

BRENDA A

Last Name

SIMONS

Business Name

BRENDA A SIMONS

Original Issue Date

10/02/1998

Effective Date

02/20/2018

Expiration Date

09/30/2020

City

CALUMET CITY

State

Zip

60409

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/14/2021