JILL RENEE` SCHEIFFELE OD 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

JILL

Middle

RENEE`

Last Name

SCHEIFFELE

Suffix

Business Name

JILL RENEE` SCHEIFFELE OD

Original Issue Date

06/23/2004

Effective Date

06/23/2004

Expiration Date

03/31/2006

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

05/11/2006