SHIRA M GELB 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

SHIRA

Middle

Last Name

GELB

Suffix

Business Name

SHIRA M GELB OD

Original Issue Date

11/16/2004

Effective Date

03/26/2022

Expiration Date

03/31/2024

City

CHICAGO

State

Zip

60659

County

COOK

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

02/05/2025