MELISSA H PETERSOHN OD 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

MELISSA

Middle

Last Name

PETERSOHN

Suffix

Business Name

MELISSA H PETERSOHN OD

Original Issue Date

09/15/2005

Effective Date

01/10/2008

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