MICHAEL O'MALLEY OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****83

License Status

NOT RENEWED

Business

Title

First Name

MICHAEL

Last Name

O'MALLEY

Business Name

MICHAEL O'MALLEY OD

Original Issue Date

08/19/1997

Effective Date

01/12/2000

Expiration Date

03/31/1998

City

CHICAGO

State

Zip

60652

County

COOK

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

01/18/2006