ELIZABETH A SOULE OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****97

License Status

NOT RENEWED

Business

First Name

ELIZABETH A

Last Name

SOULE

Suffix

Business Name

ELIZABETH A SOULE OD

Original Issue Date

05/21/1996

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

09/11/2005