Travis S Park Od

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

34*****05

Status

Expired (Not Renewed)

First issued

April 8, 2009

Expired

March 31, 2016

License holder

Travis S Park Od

Entity type

Individual

Classifications

• Optometrist Controlled Substance (Optometry) Vision & Hearing

More from the license record

Specialty

Practitioner

Controlled substance schedules

III IV V

Current term began

02/21/2014

Other Illinois licenses under this name

• IL
  Travis S Park Od

  License 046010179

  Licensed Optometrist (Optometry)
  Active

  Chicago, IL

  Expires Mar 31, 2028
• IL
  Travis S Park Od

  License 047935191

  Licensed Optometrist Ancillary Office (Optometry)
  Inactive

  Chicago, IL

  Expired Mar 31, 2010
• IL
  Travis S Park Od

  License 047935223

  Licensed Optometrist Ancillary Office (Optometry)
  Inactive

  Chicago, IL

  Expired Mar 31, 2010

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