DOMINICK LOUIS OPITZ OD - Optometrist License in Illinois | # 047930673

DOMINICK LOUIS OPITZ OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930673

License Status

NOT RENEWED

Business

N

First Name

DOMINICK

Middle

LOUIS

Last Name

OPITZ

Suffix

OD

Business Name

DOMINICK LOUIS OPITZ OD

Original Issue Date

10/08/2004

Effective Date

10/08/2004

Expiration Date

03/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2006