LAURA M CARBONE 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

LAURA

Middle

Last Name

CARBONE

Suffix

Business Name

LAURA M CARBONE OD

Original Issue Date

09/23/2005

Effective Date

04/02/2012

Expiration Date

03/31/2014

City

SCHAUMBURG

State

Zip

60173

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/06/2014