TANYA M PARKS OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****52

License Status

NOT RENEWED

Business

Title

First Name

TANYA

Middle

Last Name

PARKS

Business Name

TANYA M PARKS OD

Original Issue Date

01/20/2004

Effective Date

01/18/2006

Expiration Date

03/31/2008

City

CHICAGO

State

Zip

60619

County

COOK

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

05/02/2008