JERILYN K PRYBELL OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****06

License Status

NOT RENEWED

Business

First Name

JERILYN

Middle

Last Name

PRYBELL

Suffix

Business Name

JERILYN K PRYBELL OD

Original Issue Date

05/25/2005

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

BUFFALO GROVE

State

Zip

60089

County

LAKE

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/04/2010