TAMRA LYNN BOGOLIN OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****82

License Status

NOT RENEWED

Business

Title

First Name

TAMRA

Middle

LYNN

Last Name

BOGOLIN

Business Name

TAMRA LYNN BOGOLIN OD

Original Issue Date

08/14/2009

Effective Date

08/14/2009

Expiration Date

03/31/2010

City

SCHAUMBURG

State

Zip

60173

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/04/2010