JENNIFER LEE CAINE Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****12

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

LEE

Last Name

CAINE

Business Name

JENNIFER LEE CAINE

Original Issue Date

04/19/2013

Effective Date

03/30/2016

Expiration Date

03/31/2018

City

MERRILLVILLE

State

Zip

46410

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

06/19/2018