JESSE ANN CAMEN Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****98

License Status

NOT RENEWED

Business

First Name

JESSE

Middle

ANN

Last Name

CAMEN

Business Name

JESSE ANN CAMEN

Original Issue Date

08/07/2008

Effective Date

03/09/2012

Expiration Date

03/31/2014

City

GREAT LAKES

State

Zip

60088

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/09/2014