MARTIN HUTENSKY OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****86

License Status

NOT RENEWED

Business

First Name

MARTIN

Last Name

HUTENSKY

Suffix

Business Name

MARTIN HUTENSKY OD

Original Issue Date

11/19/1996

Effective Date

01/22/2010

Expiration Date

03/31/2012

City

CHICAGO

State

Zip

60707

County

COOK

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/16/2012