JACKSON KIN LAU 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

JACKSON

Middle

KIN

Last Name

LAU

Business Name

JACKSON KIN LAU

Original Issue Date

07/09/2014

Effective Date

07/09/2014

Expiration Date

03/31/2016

City

CHICAGO

State

Zip

60616

County

COOK

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/20/2016