KATHLEEN LYNNE VIZE OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046009465

License Status

NOT RENEWED

Business

First Name

KATHLEEN

Middle

LYNNE

Last Name

VIZE

Suffix

Business Name

KATHLEEN LYNNE VIZE OD

Original Issue Date

06/26/2002

Effective Date

01/04/2020

Expiration Date

05/31/2022

City

NORMAL

State

Zip

61761

County

MCLEAN

Ever Disciplined

LastModifiedDate

07/27/2022