SCOTT NELSON CHIN 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

SCOTT

Middle

NELSON

Last Name

CHIN

Suffix

Business Name

SCOTT NELSON CHIN OD

Original Issue Date

02/18/1999

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

CHICAGO

State

Zip

60614

County

COOK

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

01/18/2006