ANNMARIE SURDICH-PITRA Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****43

License Status

NOT RENEWED

Business

First Name

ANNMARIE

Last Name

SURDICH-PITRA

Business Name

ANNMARIE SURDICH-PITRA

Original Issue Date

08/06/1996

Expiration Date

03/31/1998

City

LOMBARD

State

Zip

60148

County

DUPAGE

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

01/18/2006