MARIA TSAMBIKA DOELMAN Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****57

License Status

NOT RENEWED

Business

First Name

MARIA

Middle

TSAMBIKA

Last Name

DOELMAN

Business Name

MARIA TSAMBIKA DOELMAN

Original Issue Date

06/26/2014

Effective Date

02/16/2016

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