ZANNA KRUOCH 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

ZANNA

Last Name

KRUOCH

Business Name

ZANNA KRUOCH

Original Issue Date

07/15/2009

Effective Date

02/26/2010

Expiration Date

03/31/2012

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/16/2012