ROBERT A MAHNICH OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****55

License Status

NOT RENEWED

Business

Title

First Name

ROBERT

Middle

Last Name

MAHNICH

Business Name

ROBERT A MAHNICH OD

Original Issue Date

08/24/1999

Effective Date

02/19/2014

Expiration Date

03/31/2016

City

BLOOMINGDALE

State

Zip

60108

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/20/2016