MARY ANN BIELENBERG Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047934788

License Status

CANCELLED

Business

First Name

MARY ANN

Last Name

BIELENBERG

Business Name

MARY ANN BIELENBERG

Original Issue Date

10/27/2008

Effective Date

10/27/2008

Expiration Date

03/31/2010

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Ever Disciplined

LastModifiedDate

05/04/2010