ELISABETH ERIN ANDERSON OD - Optometrist License in Illinois | # 34*****75

ELISABETH ERIN ANDERSON OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****75

License Status

NOT RENEWED

Business

N

Title

OD

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

State

IL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

N

LastModifiedDate

06/19/2018