LISA MICHELE MEADOWS OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****60

License Status

NOT RENEWED

Business

First Name

LISA

Middle

MICHELE

Last Name

MEADOWS

Suffix

Business Name

LISA MICHELE MEADOWS OD

Original Issue Date

12/10/2004

Effective Date

12/10/2004

Expiration Date

03/31/2006

City

HOFFMAN ESTATES

State

Zip

60195

County

COOK

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

05/11/2006