BRANDON GLEN STALZER OD - Optometrist License in Illinois | # 046009693

BRANDON GLEN STALZER OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046009693

License Status

NOT RENEWED

Business

N

First Name

BRANDON

Middle

GLEN

Last Name

STALZER

Suffix

OD

Business Name

BRANDON GLEN STALZER OD

Original Issue Date

08/10/2004

Effective Date

08/11/2004

Expiration Date

03/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2006