ADRIENNE NORA HOLLAND Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****99

License Status

NOT RENEWED

Business

First Name

ADRIENNE

Middle

NORA

Last Name

HOLLAND

Business Name

ADRIENNE NORA HOLLAND

Original Issue Date

06/10/2021

Effective Date

06/10/2021

Expiration Date

05/31/2022

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/27/2022