ELISE MARIE CORGIAT OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

OPTOMETRIC LIMITED RESIDENCY

License Number

222000012

License Status

CANCELLED

Business

First Name

ELISE

Middle

MARIE

Last Name

CORGIAT

Suffix

Business Name

ELISE MARIE CORGIAT OD

Original Issue Date

08/02/2005

Effective Date

08/02/2005

Expiration Date

07/07/2006

City

CHICAGO

State

Zip

60616

County

COOK

Ever Disciplined

LastModifiedDate

09/19/2005