GREGORY T PIETZ OD Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046009743

License Status

INACTIVE

Business

First Name

GREGORY

Middle

Last Name

PIETZ

Suffix

Business Name

GREGORY T PIETZ OD

Original Issue Date

05/05/2005

Effective Date

03/13/2018

Expiration Date

09/30/2020

City

DANVILLE

State

Zip

61834

County

VERMILION

Ever Disciplined

LastModifiedDate

01/04/2020