ELIZABETH G DZIUBA OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047928578

License Status

NOT RENEWED

Business

First Name

ELIZABETH

Middle

Last Name

DZIUBA

Suffix

Business Name

ELIZABETH G DZIUBA OD

Original Issue Date

04/19/2002

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

RICHMOND

State

Zip

60071

County

MCHENRY

Ever Disciplined

LastModifiedDate

09/11/2005