EDGAR SAMUEL PEREZ OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****95

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

05/18/2000

Expiration Date

03/31/2000

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

01/18/2006