BRIAN M DEMBO Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047935025

License Status

CANCELLED

Business

First Name

BRIAN M

Last Name

DEMBO

Business Name

BRIAN M DEMBO

Original Issue Date

01/20/2009

Effective Date

01/20/2009

Expiration Date

03/31/2010

City

NORTHBROOK

State

Zip

60062

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010