EMILY JEAN PARKER OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****64

License Status

NOT RENEWED

Business

First Name

EMILY

Middle

JEAN

Last Name

PARKER

Suffix

Business Name

EMILY JEAN PARKER OD

Original Issue Date

06/26/2008

Effective Date

06/26/2008

Expiration Date

03/31/2010

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/04/2010