LAURIE L PYNE Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****58

License Status

NOT RENEWED

Business

First Name

LAURIE L

Last Name

PYNE

Business Name

LAURIE L PYNE

Original Issue Date

08/20/1996

Effective Date

03/17/2010

Expiration Date

03/31/2012

City

BURR RIDGE

State

Zip

60527

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/16/2012