JULIE MICHELLE WEIBERT OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047931516

License Status

NOT RENEWED

Business

First Name

JULIE

Middle

MICHELLE

Last Name

WEIBERT

Suffix

Business Name

JULIE MICHELLE WEIBERT OD

Original Issue Date

09/30/2005

Effective Date

09/30/2005

Expiration Date

03/31/2006

City

CHICAGO

State

Zip

60652

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006