Optometrist
LICENSED OPTOMETRIST
046006547
NOT RENEWED
N
CHARLES E
MAROLD
CHARLES E MAROLD
08/21/1973
04/05/2004
03/31/2006
GLENDALE HEIGHTS
IL
60139
DUPAGE
Y
05/11/2006
1990005735
Fine
03/28/1991
Failed to submit proof of required continuing education hours.