MARY ANN BIELENBERG Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047932680

License Status

CANCELLED

Business

First Name

MARY ANN

Last Name

BIELENBERG

Business Name

MARY ANN BIELENBERG

Original Issue Date

11/22/2006

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

GLENWOOD

State

Zip

60425

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010