BRIAN M DEMBO Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047108000

License Status

NOT RENEWED

Business

First Name

BRIAN M

Last Name

DEMBO

Business Name

BRIAN M DEMBO

Original Issue Date

09/18/1992

Effective Date

03/08/2004

Expiration Date

03/31/2006

City

SCHILLER PARK

State

Zip

60176

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006