CHRISTINE MARIE VERBECK OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047935532

License Status

CANCELLED

Business

First Name

CHRISTINE

Middle

MARIE

Last Name

VERBECK

Suffix

Business Name

CHRISTINE MARIE VERBECK OD

Original Issue Date

07/23/2009

Effective Date

07/23/2009

Expiration Date

03/31/2010

City

LAWRENCEVILLE

State

Zip

62439

County

LAWRENCE

Ever Disciplined

LastModifiedDate

05/04/2010