CHRISTOPHER D MARTIN II OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****89

License Status

NOT RENEWED

Business

First Name

CHRISTOPHER

Middle

Last Name

MARTIN

Suffix

II OD

Business Name

CHRISTOPHER D MARTIN II OD

Original Issue Date

06/22/2006

Effective Date

04/13/2018

Expiration Date

09/30/2020

City

BERWYN

State

Zip

60402

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/14/2021