SCOTT DALE STAATZ OD - Optometrist License in Illinois | # 046008765

SCOTT DALE STAATZ OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046008765

License Status

NOT RENEWED

Business

N

First Name

SCOTT DALE

Last Name

STAATZ

Suffix

OD

Business Name

SCOTT DALE STAATZ OD

Original Issue Date

09/20/1994

Expiration Date

03/31/1998

State

IL

Ever Disciplined

N

LastModifiedDate

08/31/2005