MARY BETH WOEHRLE 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

MARY BETH

Last Name

WOEHRLE

Business Name

MARY BETH WOEHRLE

Original Issue Date

09/19/1996

Effective Date

05/18/2000

Expiration Date

03/31/2000

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

09/11/2005