EDGAR SAMUEL PEREZ OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****94

License Status

NOT RENEWED

Business

First Name

EDGAR

Middle

SAMUEL

Last Name

PEREZ

Suffix

Business Name

EDGAR SAMUEL PEREZ OD

Original Issue Date

02/08/1999

Effective Date

04/15/2002

Expiration Date

03/31/2002

City

DES PLAINES

State

Zip

60016

County

COOK

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

01/18/2006