QUATRISA IRVING 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

QUATRISA

Last Name

IRVING

Suffix

Business Name

QUATRISA IRVING OD

Original Issue Date

12/04/2007

Effective Date

12/04/2007

Expiration Date

03/31/2008

City

OAK LAWN

State

Zip

60453

County

COOK

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

05/02/2008