EDWARD W LENZEN Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046004862

License Status

INACTIVE

Business

First Name

EDWARD W

Last Name

LENZEN

Business Name

EDWARD W LENZEN

Expiration Date

03/31/1988

City

MT. PROSPECT

State

Zip

60056

County

COOK

Ever Disciplined

LastModifiedDate

08/31/2005