CHASE JEFFREY SMITH OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****80

License Status

NOT RENEWED

Business

Title

First Name

CHASE

Middle

JEFFREY

Last Name

SMITH

Business Name

CHASE JEFFREY SMITH OD

Original Issue Date

08/05/2014

Effective Date

03/07/2016

Expiration Date

03/31/2018

City

CRESTWOOD

State

Zip

60445

County

COOK

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

06/19/2018