LISA B DIBLER OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047008649

License Status

NOT RENEWED

Business

First Name

LISA

Middle

Last Name

DIBLER

Suffix

Business Name

LISA B DIBLER OD

Original Issue Date

09/15/1994

Effective Date

04/15/2002

Expiration Date

03/31/2002

City

FAIRVIEW HEIGHTS

State

Zip

62208

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

09/11/2005