GRACE ELIZABETH CASTELLS 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

GRACE

Middle

ELIZABETH

Last Name

CASTELLS

Suffix

Business Name

GRACE ELIZABETH CASTELLS OD

Original Issue Date

10/23/2002

Effective Date

03/05/2014

Expiration Date

03/31/2016

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/20/2016