PATRICK M NIEBRUGGE - Optometrist License in Illinois | # 047007315

PATRICK M NIEBRUGGE

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047007315

License Status

CANCELLED

Business

N

First Name

PATRICK M

Last Name

NIEBRUGGE

Business Name

PATRICK M NIEBRUGGE

Original Issue Date

06/05/1990

Effective Date

01/10/2008

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010