PEGGY DOLORES STEIN Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****78

License Status

NOT RENEWED

Business

First Name

PEGGY DOLORES

Last Name

STEIN

Business Name

PEGGY DOLORES STEIN

Original Issue Date

06/23/1998

Effective Date

02/08/2016

Expiration Date

03/31/2018

City

CHICAGO RIDGE

State

Zip

60415

County

COOK

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

06/19/2018