LISA M POLITZA OD - Optometrist License in Indiana | # 34*****00

LISA M POLITZA OD

Business Entity

INACTIVE

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****00

License Status

INACTIVE

Business

N

First Name

LISA M

Last Name

POLITZA

Suffix

OD

Business Name

LISA M POLITZA OD

Original Issue Date

06/13/1996

Effective Date

03/23/2022

Expiration Date

03/31/2024

State

IN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

N

LastModifiedDate

06/06/2022