JOSEPH A MORENO 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

JOSEPH

Middle

Last Name

MORENO

Suffix

Business Name

JOSEPH A MORENO OD

Original Issue Date

08/20/1996

Effective Date

03/30/2018

Expiration Date

09/30/2020

City

DOWNERS GROVE

State

Zip

60516

County

WILL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/14/2021