ABIGAIL LEA RICHIE OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****63

License Status

NOT RENEWED

Business

Title

First Name

ABIGAIL

Middle

LEA

Last Name

RICHIE

Business Name

ABIGAIL LEA RICHIE OD

Original Issue Date

06/10/2019

Effective Date

06/10/2019

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60660

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021