INGRYD J LORENZANA OD - Optometrist License in Illinois | # 047930318

INGRYD J LORENZANA OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930318

License Status

NOT RENEWED

Business

N

First Name

INGRYD

Middle

J

Last Name

LORENZANA

Suffix

OD

Business Name

INGRYD J LORENZANA OD

Original Issue Date

06/22/2004

Effective Date

06/22/2004

Expiration Date

03/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2006