License holder summary

ELLI J KOLLBAUM is a Optometry - Optometrist licensed to practice in Iowa. The address on file for ELLI J KOLLBAUM is 1512 SOUTH HIGH STREET BLOOMINGTON IN 47401. This licensed professional license is not current. The license was granted 07/31/1998 and expired on 06/30/2000.

Iowa

Professional Licensing Bureau

ELLI J KOLLBAUM
Optometry - Optometrist
License number
02122
Date granted
07/31/1998
Date expires
06/30/2000
Class
Optometry - Optometrist
Status
Inactive
Address
1512 SOUTH HIGH STREET BLOOMINGTON IN 47401
iowalicenses.org
ID 24163583
LAST UPDATED 2024-02-10 14:05:07 UTC

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