MATTHEW PIETZ LARSON OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046010940

License Status

NOT RENEWED

Business

Title

First Name

MATTHEW

Middle

PIETZ

Last Name

LARSON

Business Name

MATTHEW PIETZ LARSON OD

Original Issue Date

07/23/2015

Effective Date

03/14/2018

Expiration Date

09/30/2020

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Ever Disciplined

LastModifiedDate

01/14/2021