MARCUS J NEITZKE OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046009725

License Status

NOT RENEWED

Business

First Name

MARCUS

Middle

Last Name

NEITZKE

Suffix

Business Name

MARCUS J NEITZKE OD

Original Issue Date

10/21/2004

Effective Date

10/21/2004

Expiration Date

03/31/2006

City

WESTCHESTER

State

Zip

60154

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006