SUSAN M BOBKO OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047931628

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

Last Name

BOBKO

Suffix

Business Name

SUSAN M BOBKO OD

Original Issue Date

12/07/2005

Effective Date

12/07/2005

Expiration Date

03/31/2006

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

11/02/2006