ANNE T GOUDANIS OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****75

License Status

NOT RENEWED

Business

First Name

ANNE

Middle

Last Name

GOUDANIS

Suffix

Business Name

ANNE T GOUDANIS OD

Original Issue Date

09/25/2002

Effective Date

03/30/2022

Expiration Date

03/31/2024

City

HILLSIDE

State

Zip

60162

County

COOK

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

02/05/2025