JEANIE C LUCY OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****72

License Status

NOT RENEWED

Business

First Name

JEANIE

Middle

Last Name

LUCY

Suffix

Business Name

JEANIE C LUCY OD

Original Issue Date

01/10/1997

Expiration Date

03/31/1998

City

EVERGREEN PARK

State

Zip

60805

County

COOK

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

01/18/2006