LAUREN ALLEY RODOLFO OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****81

License Status

NOT RENEWED

Business

First Name

LAUREN

Middle

ALLEY

Last Name

RODOLFO

Suffix

Business Name

LAUREN ALLEY RODOLFO OD

Original Issue Date

06/08/2010

Effective Date

03/19/2014

Expiration Date

03/31/2016

City

ARLINGTON HEIGHTS

State

Zip

60005

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/20/2016