TERRANCE P CARMINE 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

TERRANCE P

Last Name

CARMINE

Business Name

TERRANCE P CARMINE

Original Issue Date

05/07/1996

Effective Date

02/05/2020

Expiration Date

05/31/2022

City

LANSING

State

Zip

60438

County

COOK

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

07/27/2022