BELINDA SELF MCINTIRE OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****52

License Status

NOT RENEWED

Business

First Name

BELINDA

Middle

SELF

Last Name

MCINTIRE

Suffix

Business Name

BELINDA SELF MCINTIRE OD

Original Issue Date

10/07/2008

Effective Date

10/07/2008

Expiration Date

03/31/2010

City

CHICAGO

State

Zip

60622

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/04/2010