DESIREE VICTORIA OWEN OD 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

DESIREE

Middle

VICTORIA

Last Name

OWEN

Suffix

Business Name

DESIREE VICTORIA OWEN OD

Original Issue Date

06/29/2010

Effective Date

03/11/2014

Expiration Date

03/31/2016

City

EVANSTON

State

Zip

60201

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/20/2016