ELISE MARIE CORGIAT OD - Optometrist License in Illinois | # 047933444

ELISE MARIE CORGIAT OD

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047933444

License Status

CANCELLED

Business

N

First Name

ELISE

Middle

MARIE

Last Name

CORGIAT

Suffix

OD

Business Name

ELISE MARIE CORGIAT OD

Original Issue Date

10/04/2007

Effective Date

01/10/2008

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010