JOCELYN E BASCO OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****93

License Status

NOT RENEWED

Business

First Name

JOCELYN

Middle

Last Name

BASCO

Suffix

Business Name

JOCELYN E BASCO OD

Original Issue Date

09/22/2005

Effective Date

09/22/2005

Expiration Date

03/31/2006

City

GREAT LAKES

State

Zip

60088

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

05/11/2006