BRIAN M DEMBO Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047038000

License Status

NOT RENEWED

Business

First Name

BRIAN M

Last Name

DEMBO

Business Name

BRIAN M DEMBO

Original Issue Date

09/15/1994

Effective Date

04/15/2002

Expiration Date

03/31/2002

City

LONG GROVE

State

Zip

60047

County

LAKE

Ever Disciplined

LastModifiedDate

09/11/2005