MARINA A SHEPELENKO Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****49

License Status

NOT RENEWED

Business

First Name

MARINA

Middle

Last Name

SHEPELENKO

Business Name

MARINA A SHEPELENKO

Original Issue Date

07/29/2010

Effective Date

03/13/2014

Expiration Date

03/31/2016

City

CHICAGO

State

Zip

60625

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/20/2016