LYUDMILA P PODBEREZIN OD Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****83

License Status

INACTIVE

Business

First Name

LYUDMILA

Middle

Last Name

PODBEREZIN OD

Business Name

LYUDMILA P PODBEREZIN OD

Original Issue Date

08/18/2009

Effective Date

03/15/2010

Expiration Date

03/31/2012

City

WAUKEGAN

State

Zip

60085

County

LAKE

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/12/2012