BRIAN RICHARD BENITZ OD - Optometrist License in Illinois | # 047926669

BRIAN RICHARD BENITZ OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047926669

License Status

NOT RENEWED

Business

N

First Name

BRIAN

Middle

RICHARD

Last Name

BENITZ

Suffix

OD

Business Name

BRIAN RICHARD BENITZ OD

Original Issue Date

12/23/1999

Effective Date

08/26/2003

Expiration Date

03/31/2000

State

IL

Ever Disciplined

N

LastModifiedDate

09/11/2005