KARA ELIZABETH CRUMBLISS OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047932736

License Status

CANCELLED

Business

First Name

KARA

Middle

ELIZABETH

Last Name

CRUMBLISS

Suffix

Business Name

KARA ELIZABETH CRUMBLISS OD

Original Issue Date

12/18/2006

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

ELK GROVE VILLAGE

State

Zip

60007

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010