CAROLYN G SZUMANSKI Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****90

License Status

NOT RENEWED

Business

First Name

CAROLYN G

Last Name

SZUMANSKI

Business Name

CAROLYN G SZUMANSKI

Original Issue Date

04/09/1997

Effective Date

01/12/2000

Expiration Date

03/31/1998

City

EVERGREEN PARK

State

Zip

60805

County

COOK

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/18/2006