SANDRA STEIN BLOCK OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****50

License Status

NOT RENEWED

Business

First Name

SANDRA

Middle

STEIN

Last Name

BLOCK

Suffix

Business Name

SANDRA STEIN BLOCK OD

Original Issue Date

04/07/1997

Effective Date

02/03/2016

Expiration Date

03/31/2018

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

06/19/2018