MICHELLE CHAN 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

MICHELLE

Last Name

CHAN

Suffix

Business Name

MICHELLE CHAN OD

Original Issue Date

08/08/2003

Effective Date

09/01/2020

Expiration Date

05/31/2022

City

CHICAGO

State

Zip

60601

County

COOK

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

07/27/2022