SHANA BETH BRAFMAN OD 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

SHANA

Middle

BETH

Last Name

BRAFMAN

Suffix

Business Name

SHANA BETH BRAFMAN OD

Original Issue Date

06/22/2007

Effective Date

03/16/2012

Expiration Date

03/31/2014

City

CHICAGO

State

Zip

60616

County

COOK

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/06/2014