CHRISTOPHER D MARTIN II OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****56

License Status

NOT RENEWED

Business

First Name

CHRISTOPHER

Middle

Last Name

MARTIN

Suffix

II OD

Business Name

CHRISTOPHER D MARTIN II OD

Original Issue Date

02/01/2002

Effective Date

10/31/2012

Expiration Date

03/31/2014

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

05/06/2014