COLIN LEE OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****85

License Status

NOT RENEWED

Business

Title

First Name

COLIN

Last Name

LEE

Business Name

COLIN LEE OD

Original Issue Date

08/09/2019

Effective Date

01/16/2020

Expiration Date

05/31/2022

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

07/27/2022