NANCYJO E PRYBYLO Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****58

License Status

NOT RENEWED

Business

First Name

NANCYJO E

Last Name

PRYBYLO

Business Name

NANCYJO E PRYBYLO

Original Issue Date

05/02/2006

Effective Date

01/25/2012

Expiration Date

03/31/2014

City

OAK PARK

State

Zip

60304

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

05/06/2014