KARA ELIZABETH CRUMBLISS OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047935446

License Status

CANCELLED

Business

First Name

KARA

Middle

ELIZABETH

Last Name

CRUMBLISS

Suffix

Business Name

KARA ELIZABETH CRUMBLISS OD

Original Issue Date

06/25/2009

Effective Date

06/25/2009

Expiration Date

03/31/2010

City

DES PLAINES

State

Zip

60016

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010