VLADIMIR V YEVSEYENKOV 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

VLADIMIR

Middle

Last Name

YEVSEYENKOV

Suffix

Business Name

VLADIMIR V YEVSEYENKOV OD

Original Issue Date

07/29/2009

Effective Date

03/24/2010

Expiration Date

03/31/2012

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/16/2012