ALFRED A ROSENBLOOM JR Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****96

License Status

NOT RENEWED

Business

First Name

ALFRED A

Last Name

ROSENBLOOM JR

Business Name

ALFRED A ROSENBLOOM JR

Original Issue Date

12/18/2000

Effective Date

03/19/2014

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