ELIZABETH G DZIUBA OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047926058

License Status

NOT RENEWED

Business

First Name

ELIZABETH

Middle

Last Name

DZIUBA

Suffix

Business Name

ELIZABETH G DZIUBA OD

Original Issue Date

01/05/1999

Effective Date

04/15/2002

Expiration Date

03/31/2002

City

GRAYSLAKE

State

Zip

60030

County

LAKE

Ever Disciplined

LastModifiedDate

09/11/2005