ELISABETH ERIN ANDERSON OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****75

License Status

NOT RENEWED

Business

Title

First Name

ELISABETH

Middle

ERIN

Last Name

ANDERSON

Business Name

ELISABETH ERIN ANDERSON OD

Original Issue Date

05/27/2016

Effective Date

05/27/2016

Expiration Date

03/31/2018

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

06/19/2018