GERI G NYBOE OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****40

License Status

NOT RENEWED

Business

First Name

GERI G

Last Name

NYBOE

Suffix

Business Name

GERI G NYBOE OD

Original Issue Date

04/04/1997

Effective Date

01/29/2014

Expiration Date

03/31/2016

City

OAK BROOK

State

Zip

60523

County

DUPAGE

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/20/2016