MICHAEL M ALVAREZ OD Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****81

License Status

INACTIVE

Business

First Name

MICHAEL M

Last Name

ALVAREZ

Suffix

Business Name

MICHAEL M ALVAREZ OD

Original Issue Date

06/17/1996

Effective Date

03/26/2004

Expiration Date

03/31/2004

City

CHICAGO

State

Zip

60617

County

COOK

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

09/11/2005