MELINDA L GRUSZKA Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****64

License Status

NOT RENEWED

Business

First Name

MELINDA

Middle

Last Name

GRUSZKA

Business Name

MELINDA L GRUSZKA

Original Issue Date

07/22/2009

Effective Date

07/22/2009

Expiration Date

03/31/2010

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III

Ever Disciplined

LastModifiedDate

05/04/2010