ELENA COLLIER OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****80

License Status

NOT RENEWED

Business

First Name

ELENA

Last Name

COLLIER

Suffix

Business Name

ELENA COLLIER OD

Original Issue Date

03/18/2005

Effective Date

03/18/2005

Expiration Date

03/31/2006

City

CHICAGO

State

Zip

60639

County

COOK

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

05/11/2006