MARY ANN BIELENBERG Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047927754

License Status

NOT RENEWED

Business

First Name

MARY ANN

Last Name

BIELENBERG

Business Name

MARY ANN BIELENBERG

Original Issue Date

03/07/2001

Effective Date

04/15/2002

Expiration Date

03/31/2002

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005