ELISE MARIE CORGIAT OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047932956

License Status

CANCELLED

Business

First Name

ELISE

Middle

MARIE

Last Name

CORGIAT

Suffix

Business Name

ELISE MARIE CORGIAT OD

Original Issue Date

04/16/2007

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

CHICAGO

State

Zip

60608

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010