ELIZABETH G DZIUBA OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047925772

License Status

NOT RENEWED

Business

First Name

ELIZABETH

Middle

Last Name

DZIUBA

Suffix

Business Name

ELIZABETH G DZIUBA OD

Original Issue Date

07/27/1998

Effective Date

05/18/2000

Expiration Date

03/31/2000

City

MCHENRY

State

Zip

60050

County

MCHENRY

Ever Disciplined

LastModifiedDate

09/11/2005