ELLYN RACHEL KOZOB LERNER OD Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046010698

License Status

INACTIVE

Business

Title

First Name

ELLYN

Middle

RACHEL

Last Name

KOZOB LERNER

Business Name

ELLYN RACHEL KOZOB LERNER OD

Original Issue Date

07/03/2013

Effective Date

01/24/2018

Expiration Date

09/30/2020

City

NORTHBROOK

State

Zip

60062

County

COOK

Ever Disciplined

LastModifiedDate

01/04/2020