DOMINICK LOUIS OPITZ OD - Optometrist License in Illinois | # 047931302

DOMINICK LOUIS OPITZ OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047931302

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

07/29/2005

Effective Date

01/18/2006

Expiration Date

03/31/2008

State

IL

Ever Disciplined

N

LastModifiedDate

05/02/2008