VICTOR ROMM 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

VICTOR

Last Name

ROMM

Suffix

Business Name

VICTOR ROMM OD

Original Issue Date

09/28/2005

Effective Date

09/28/2005

Expiration Date

03/31/2006

City

JOLIET

State

Zip

60435

County

WILL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/11/2006