KERRY M JOHN OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****87

License Status

NOT RENEWED

Business

First Name

KERRY

Middle

Last Name

JOHN

Suffix

Business Name

KERRY M JOHN OD

Original Issue Date

03/31/2005

Effective Date

03/25/2010

Expiration Date

03/31/2012

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/16/2012