LYUDMILA P PODBEREZIN OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****60

License Status

NOT RENEWED

Business

First Name

LYUDMILA

Middle

Last Name

PODBEREZIN OD

Business Name

LYUDMILA P PODBEREZIN OD

Original Issue Date

07/15/2009

Effective Date

07/15/2009

Expiration Date

03/31/2010

City

CHICAGO

State

Zip

60622

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/04/2010