MOHAMED EID OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****53

License Status

NOT RENEWED

Business

First Name

MOHAMED

Last Name

EID

Suffix

Business Name

MOHAMED EID OD

Original Issue Date

07/18/2003

Effective Date

04/02/2004

Expiration Date

03/31/2006

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

05/11/2006