EZRA ATIKUNE OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****74

License Status

NOT RENEWED

Business

First Name

EZRA

Last Name

ATIKUNE

Suffix

Business Name

EZRA ATIKUNE OD

Original Issue Date

11/06/1998

Effective Date

04/15/2002

Expiration Date

03/31/2002

City

CHICAGO

State

Zip

60647

County

COOK

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

01/18/2006