SUSAN M BOBKO OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****79

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

Last Name

BOBKO

Suffix

Business Name

SUSAN M BOBKO OD

Original Issue Date

12/09/2010

Effective Date

05/22/2013

Expiration Date

03/31/2014

City

TINLEY PARK

State

Zip

60477

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III

Ever Disciplined

LastModifiedDate

05/06/2014