NADINE MARY GIRGIS OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****43

License Status

CANCELLED

Business

First Name

NADINE

Middle

MARY

Last Name

GIRGIS

Suffix

Business Name

NADINE MARY GIRGIS OD

Original Issue Date

12/09/2003

Effective Date

01/18/2006

Expiration Date

03/31/2008

City

HARWOOD HEIGHTS

State

Zip

60706

County

COOK

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

01/10/2008