JESSICA CHASE ISLAM Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****54

License Status

NOT RENEWED

Business

First Name

JESSICA

Middle

CHASE

Last Name

ISLAM

Business Name

JESSICA CHASE ISLAM

Original Issue Date

04/29/2019

Effective Date

03/26/2022

Expiration Date

03/31/2024

City

EVANSTON

State

Zip

60202

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025