MARYKE N NEIBERG Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****11

License Status

NOT RENEWED

Business

First Name

MARYKE

Middle

Last Name

NEIBERG

Business Name

MARYKE N NEIBERG

Original Issue Date

08/21/2015

Effective Date

03/14/2016

Expiration Date

03/31/2018

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/19/2018