MARY ANN BIELENBERG Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047057552

License Status

NOT RENEWED

Business

First Name

MARY ANN

Last Name

BIELENBERG

Business Name

MARY ANN BIELENBERG

Original Issue Date

10/30/1996

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

LANSING

State

Zip

60438

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005