MICHAEL VATHANASAYNEE 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

MICHAEL

Last Name

VATHANASAYNEE

Suffix

Business Name

MICHAEL VATHANASAYNEE OD

Original Issue Date

06/28/2007

Effective Date

06/28/2007

Expiration Date

03/31/2008

City

SKOKIE

State

Zip

60077

County

COOK

Specialty/Qualifier

HOSPITAL/CLINIC

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

05/02/2008