PETER T RYAN Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****59

License Status

NOT RENEWED

Business

First Name

PETER T

Last Name

RYAN

Business Name

PETER T RYAN

Original Issue Date

11/20/1996

Effective Date

05/18/2000

Expiration Date

03/31/2000

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

09/11/2005