IRWIN SEPTOW Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****62

License Status

NOT RENEWED

Business

First Name

IRWIN

Last Name

SEPTOW

Business Name

IRWIN SEPTOW

Original Issue Date

08/29/2002

Effective Date

01/14/2010

Expiration Date

03/31/2012

City

CHICAGO

State

Zip

60647

County

COOK

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

05/16/2012