IRWIN SEPTOW Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****83

License Status

NOT RENEWED

Business

First Name

IRWIN

Last Name

SEPTOW

Business Name

IRWIN SEPTOW

Original Issue Date

03/22/2005

Effective Date

03/22/2005

Expiration Date

03/31/2006

City

NILES

State

Zip

60714

County

COOK

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

05/11/2006