THOMAS JOHN LENZ OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046009855

License Status

NOT RENEWED

Business

Title

First Name

THOMAS

Middle

JOHN

Last Name

LENZ

Business Name

THOMAS JOHN LENZ OD

Original Issue Date

06/20/2006

Effective Date

06/20/2006

Expiration Date

03/31/2008

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2008