CARLOS LORENZO GRANDELA Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046011198

License Status

NOT RENEWED

Business

First Name

CARLOS

Middle

LORENZO

Last Name

GRANDELA

Business Name

CARLOS LORENZO GRANDELA

Original Issue Date

06/28/2018

Effective Date

06/28/2018

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60616

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021