YESENIA MAGALLANES OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****91

License Status

NOT RENEWED

Business

Title

First Name

YESENIA

Last Name

MAGALLANES

Business Name

YESENIA MAGALLANES OD

Original Issue Date

08/07/2014

Effective Date

08/07/2014

Expiration Date

03/31/2016

City

CHICAGO

State

Zip

60638

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/20/2016