SANDRA SAWA 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

SANDRA

Last Name

SAWA

Business Name

SANDRA SAWA

Original Issue Date

04/27/1998

Effective Date

05/18/2000

Expiration Date

03/31/2000

City

CHICAGO

State

Zip

60649

County

COOK

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

09/11/2005