EUGENIA LOMAZOV 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

EUGENIA

Last Name

LOMAZOV

Suffix

Business Name

EUGENIA LOMAZOV OD

Original Issue Date

02/14/2000

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

ARLINGTON HEIGHTS

State

Zip

60005

County

COOK

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

01/18/2006