MARY ANN BIELENBERG Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047037552

License Status

NOT RENEWED

Business

First Name

MARY ANN

Last Name

BIELENBERG

Business Name

MARY ANN BIELENBERG

Original Issue Date

10/17/1995

Expiration Date

03/31/1996

City

HAZEL CREST

State

Zip

60429

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2005