ANNMARIE SURDICH-PITRA Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047935871

License Status

CANCELLED

Business

First Name

ANNMARIE

Last Name

SURDICH-PITRA

Business Name

ANNMARIE SURDICH-PITRA

Original Issue Date

11/20/2009

Effective Date

11/20/2009

Expiration Date

03/31/2010

City

LISLE

State

Zip

60532

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/04/2010