MATTHEW RYAN BLUEMLEIN OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****77

License Status

NOT RENEWED

Business

First Name

MATTHEW

Middle

RYAN

Last Name

BLUEMLEIN

Suffix

Business Name

MATTHEW RYAN BLUEMLEIN OD

Original Issue Date

11/05/2020

Effective Date

11/05/2020

Expiration Date

05/31/2022

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

07/27/2022