TRISTA LEE PABISZ OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****17

License Status

NOT RENEWED

Business

Title

First Name

TRISTA

Middle

LEE

Last Name

PABISZ

Business Name

TRISTA LEE PABISZ OD

Original Issue Date

01/14/2014

Effective Date

01/14/2014

Expiration Date

03/31/2016

City

FAIRVIEW HEIGHTS

State

Zip

62208

County

SAINT CLAIR

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/20/2016