ALYCE ANASTASIA HOFMANN OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****85

License Status

NOT RENEWED

Business

First Name

ALYCE

Middle

ANASTASIA

Last Name

HOFMANN

Suffix

Business Name

ALYCE ANASTASIA HOFMANN OD

Original Issue Date

01/15/2008

Effective Date

01/15/2008

Expiration Date

03/31/2010

City

ELBURN

State

Zip

60119

County

KANE

Specialty/Qualifier

HOSPITAL/CLINIC

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/04/2010