IRENE M WITT Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****92

License Status

CANCELLED

Business

First Name

IRENE M

Last Name

WITT

Business Name

IRENE M WITT

Original Issue Date

09/12/1996

Effective Date

01/18/2006

Expiration Date

03/31/2008

City

NAPERVILLE

State

Zip

60565

County

DUPAGE

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

01/10/2008