MICHAEL J FARY OD 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

MICHAEL

Middle

Last Name

FARY

Suffix

Business Name

MICHAEL J FARY OD

Original Issue Date

03/30/2011

Effective Date

04/02/2018

Expiration Date

09/30/2020

City

STREAMWOOD

State

Zip

60107

County

COOK

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/14/2021