GREG R WALDORF OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046008956

License Status

NOT RENEWED

Business

First Name

GREG R

Last Name

WALDORF

Suffix

Business Name

GREG R WALDORF OD

Original Issue Date

11/19/1996

Effective Date

02/18/2004

Expiration Date

03/31/2006

City

ROUND LAKE BEACH

State

Zip

60073

County

LAKE

Ever Disciplined

LastModifiedDate

07/30/2007