CHRISTINE CAMILLE SIEBERT OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047925529

License Status

NOT RENEWED

Business

First Name

CHRISTINE

Middle

CAMILLE

Last Name

SIEBERT

Suffix

Business Name

CHRISTINE CAMILLE SIEBERT OD

Original Issue Date

12/16/1997

Effective Date

05/18/2000

Expiration Date

03/31/2000

City

DES PLAINES

State

Zip

60018

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005