MONIQUE M VELASCO OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****95

License Status

NOT RENEWED

Business

Title

First Name

MONIQUE

Middle

Last Name

VELASCO

Business Name

MONIQUE M VELASCO OD

Original Issue Date

08/07/2017

Effective Date

08/07/2017

Expiration Date

03/31/2018

City

BLOOMINGDALE

State

Zip

60108

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

06/19/2018