MATTHEW PIETZ LARSON OD - Optometrist License in Illinois | # 046010940

MATTHEW PIETZ LARSON OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046010940

License Status

NOT RENEWED

Business

N

Title

OD

First Name

MATTHEW

Middle

PIETZ

Last Name

LARSON

Business Name

MATTHEW PIETZ LARSON OD

Original Issue Date

07/23/2015

Effective Date

03/14/2018

Expiration Date

09/30/2020

State

IL

Ever Disciplined

N

LastModifiedDate

01/14/2021