ELIZABETH MARIE URBANIAK OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****05

License Status

NOT RENEWED

Business

Title

First Name

ELIZABETH

Middle

MARIE

Last Name

URBANIAK

Business Name

ELIZABETH MARIE URBANIAK OD

Original Issue Date

09/09/2014

Effective Date

02/23/2016

Expiration Date

03/31/2018

City

CHICAGO

State

Zip

60605

County

COOK

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

06/19/2018