LAURIE L FLAGEL 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

LAURIE L

Last Name

FLAGEL

Business Name

LAURIE L FLAGEL

Original Issue Date

11/19/1998

Effective Date

05/18/2000

Expiration Date

03/31/2000

City

SKOKIE

State

Zip

60076

County

COOK

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

09/11/2005