ALEXANDER MARSHALKOVICH Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****55

License Status

NOT RENEWED

Business

First Name

ALEXANDER

Last Name

MARSHALKOVICH

Business Name

ALEXANDER MARSHALKOVICH

Original Issue Date

04/07/1997

Effective Date

02/22/2020

Expiration Date

05/31/2022

City

NORTHBROOK

State

Zip

60062

County

COOK

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

07/27/2022