WALTER CHARLES ATKENSON JR 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

WALTER CHARLES

Last Name

ATKENSON JR

Business Name

WALTER CHARLES ATKENSON JR

Original Issue Date

08/20/1996

Effective Date

01/30/2020

Expiration Date

05/31/2022

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

07/27/2022