CHRISTOPHER JEAN BORGMAN Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****88

License Status

NOT RENEWED

Business

First Name

CHRISTOPHER

Middle

JEAN

Last Name

BORGMAN

Business Name

CHRISTOPHER JEAN BORGMAN

Original Issue Date

06/28/2010

Effective Date

06/28/2010

Expiration Date

03/31/2012

City

CHICAGO

State

Zip

60616

County

COOK

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/16/2012