ALLISON SUE WALZ OD - Optometrist License in Illinois | # 047935511

ALLISON SUE WALZ OD

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047935511

License Status

CANCELLED

Business

N

First Name

ALLISON

Middle

SUE

Last Name

WALZ

Suffix

OD

Business Name

ALLISON SUE WALZ OD

Original Issue Date

07/18/2009

Effective Date

07/18/2009

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010