AMY HANSEN PIKO OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****69

License Status

NOT RENEWED

Business

Title

First Name

AMY

Middle

HANSEN

Last Name

PIKO

Business Name

AMY HANSEN PIKO OD

Original Issue Date

08/26/2005

Effective Date

01/05/2010

Expiration Date

03/31/2012

City

CHICAGO

State

Zip

60608

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

02/02/2015