SANDRA L BURY OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930707

License Status

NOT RENEWED

Business

First Name

SANDRA

Middle

Last Name

BURY

Suffix

Business Name

SANDRA L BURY OD

Original Issue Date

11/05/2004

Effective Date

11/05/2004

Expiration Date

03/31/2006

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006