ELIZABETH G DZIUBA OD - Optometrist License in Illinois | # 047928578

ELIZABETH G DZIUBA OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047928578

License Status

NOT RENEWED

Business

N

First Name

ELIZABETH

Middle

G

Last Name

DZIUBA

Suffix

OD

Business Name

ELIZABETH G DZIUBA OD

Original Issue Date

04/19/2002

Effective Date

06/04/2004

Expiration Date

03/31/2004

State

IL

Ever Disciplined

N

LastModifiedDate

09/11/2005