KARA ELIZABETH CRUMBLISS OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930440

License Status

NOT RENEWED

Business

First Name

KARA

Middle

ELIZABETH

Last Name

CRUMBLISS

Suffix

Business Name

KARA ELIZABETH CRUMBLISS OD

Original Issue Date

08/13/2004

Effective Date

08/13/2004

Expiration Date

03/31/2006

City

CHICAGO

State

Zip

60608

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006