LORI LATOWSKI GROVER OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****54

License Status

NOT RENEWED

Business

Title

First Name

LORI

Middle

LATOWSKI

Last Name

GROVER

Business Name

LORI LATOWSKI GROVER OD

Original Issue Date

03/24/2017

Effective Date

03/24/2017

Expiration Date

03/31/2018

City

OAKBROOK TERRACE

State

Zip

60181

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

06/19/2018