SAMANTHA LOCY HAMBLET 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

SAMANTHA

Middle

LOCY

Last Name

HAMBLET

Business Name

SAMANTHA LOCY HAMBLET OD

Original Issue Date

07/29/2008

Effective Date

04/01/2010

Expiration Date

03/31/2012

City

NORTHBROOK

State

Zip

60062

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/16/2012