KARA ELIZABETH CRUMBLISS OD - Optometrist License in Illinois | # 047932735

KARA ELIZABETH CRUMBLISS OD

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047932735

License Status

CANCELLED

Business

N

First Name

KARA

Middle

ELIZABETH

Last Name

CRUMBLISS

Suffix

OD

Business Name

KARA ELIZABETH CRUMBLISS OD

Original Issue Date

12/18/2006

Effective Date

01/10/2008

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010