ELISE MARIE CORGIAT OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047932130

License Status

NOT RENEWED

Business

First Name

ELISE

Middle

MARIE

Last Name

CORGIAT

Suffix

Business Name

ELISE MARIE CORGIAT OD

Original Issue Date

04/20/2006

Effective Date

04/20/2006

Expiration Date

03/31/2008

City

CHICAGO

State

Zip

60647

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2008