JENNA DEANNA KOSKEY OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****89

License Status

NOT RENEWED

Business

Title

First Name

JENNA

Middle

DEANNA

Last Name

KOSKEY

Business Name

JENNA DEANNA KOSKEY OD

Original Issue Date

06/14/2016

Effective Date

06/14/2016

Expiration Date

03/31/2018

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

06/19/2018