BRIAN M DEMBO Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047048000

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

06/04/2004

Expiration Date

03/31/2004

City

CHICAGO

State

Zip

60640

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005