ANITA KO OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****57

License Status

NOT RENEWED

Business

Title

First Name

ANITA

Last Name

Business Name

ANITA KO OD

Original Issue Date

02/09/2022

Effective Date

02/09/2022

Expiration Date

03/31/2024

City

RIVERWOODS

State

Zip

60015

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025