LYUDMILA P PODBEREZIN OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****84

License Status

NOT RENEWED

Business

First Name

LYUDMILA

Middle

Last Name

PODBEREZIN OD

Business Name

LYUDMILA P PODBEREZIN OD

Original Issue Date

08/18/2009

Effective Date

03/15/2012

Expiration Date

03/31/2014

City

ALGONQUIN

State

Zip

60102

County

MCHENRY

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/06/2014