ELIZABETH G DZIUBA OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047018878

License Status

NOT RENEWED

Business

First Name

ELIZABETH

Middle

Last Name

DZIUBA

Suffix

Business Name

ELIZABETH G DZIUBA OD

Original Issue Date

03/21/1996

Expiration Date

03/31/1998

City

LAKE ZURICH

State

Zip

60047

County

LAKE

Ever Disciplined

LastModifiedDate

09/01/2005