SCOTT MARK SEABURG OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****88

License Status

NOT RENEWED

Business

Title

First Name

SCOTT

Middle

MARK

Last Name

SEABURG

Business Name

SCOTT MARK SEABURG OD

Original Issue Date

06/13/2016

Effective Date

06/13/2016

Expiration Date

03/31/2018

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/19/2018