LAKITTA MONCHELLE WOODS-DWELLE OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****74

License Status

NOT RENEWED

Business

Title

First Name

LAKITTA

Middle

MONCHELLE

Last Name

WOODS-DWELLE

Business Name

LAKITTA MONCHELLE WOODS-DWELLE OD

Original Issue Date

07/15/2008

Effective Date

04/02/2012

Expiration Date

03/31/2014

City

ORLAND PARK

State

Zip

60462

County

COOK

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/06/2014