LISA MARIE CIBELLI OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****07

License Status

NOT RENEWED

Business

First Name

LISA

Middle

MARIE

Last Name

CIBELLI

Suffix

Business Name

LISA MARIE CIBELLI OD

Original Issue Date

09/30/2009

Effective Date

09/30/2009

Expiration Date

03/31/2010

City

CHICAGO

State

Zip

60622

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/04/2010