MEGAN MARIE WESTERGREN OD 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

MEGAN

Middle

MARIE

Last Name

WESTERGREN

Suffix

Business Name

MEGAN MARIE WESTERGREN OD

Original Issue Date

08/05/2013

Effective Date

08/05/2013

Expiration Date

03/31/2014

City

WESTCHESTER

State

Zip

60154

County

COOK

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/06/2014