ANITA KO OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****58

License Status

NOT RENEWED

Business

Title

First Name

ANITA

Last Name

Business Name

ANITA KO OD

Original Issue Date

06/25/2008

Effective Date

03/14/2018

Expiration Date

09/30/2020

City

RIVERWOODS

State

Zip

60015

County

LAKE

Specialty/Qualifier

HOSPITAL/CLINIC

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/14/2021