ANDREA MARIE LANGOLF OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****79

License Status

NOT RENEWED

Business

Title

First Name

ANDREA

Middle

MARIE

Last Name

LANGOLF

Business Name

ANDREA MARIE LANGOLF OD

Original Issue Date

07/26/2018

Effective Date

03/23/2022

Expiration Date

03/31/2024

City

FORT GRATIOT

State

Zip

48059

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025