KRISTINA O DIMOVA OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****80

License Status

NOT RENEWED

Business

First Name

KRISTINA

Middle

Last Name

DIMOVA

Suffix

Business Name

KRISTINA O DIMOVA OD

Original Issue Date

08/11/2009

Effective Date

01/05/2010

Expiration Date

03/31/2012

City

ELGIN

State

Zip

60123

County

KANE

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/16/2012