JUDITH Y LEE Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****79

License Status

NOT RENEWED

Business

First Name

JUDITH

Middle

Last Name

LEE

Business Name

JUDITH Y LEE

Original Issue Date

05/18/2010

Effective Date

05/18/2010

Expiration Date

03/31/2012

City

NILES

State

Zip

60714

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/16/2012