ALLISON SUE WALZ OD - Optometrist License in Illinois | # 047935632

ALLISON SUE WALZ OD

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047935632

License Status

CANCELLED

Business

N

First Name

ALLISON

Middle

SUE

Last Name

WALZ

Suffix

OD

Business Name

ALLISON SUE WALZ OD

Original Issue Date

08/24/2009

Effective Date

08/24/2009

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010