KIMBERLY ANN MENZA Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046010251

License Status

INACTIVE

Business

First Name

KIMBERLY

Middle

ANN

Last Name

MENZA

Business Name

KIMBERLY ANN MENZA

Original Issue Date

06/22/2009

Effective Date

03/29/2010

Expiration Date

03/31/2012

City

ORLAND PARK

State

Zip

60462

County

COOK

Ever Disciplined

LastModifiedDate

01/12/2012