ROBERT MATTHEW BECKER 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

ROBERT

Middle

MATTHEW

Last Name

BECKER

Suffix

Business Name

ROBERT MATTHEW BECKER OD

Original Issue Date

08/04/2010

Effective Date

01/31/2012

Expiration Date

03/31/2014

City

CHICAGO

State

Zip

60607

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV

Ever Disciplined

LastModifiedDate

05/06/2014