FRED W LENZ Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047003870

License Status

NOT RENEWED

Business

First Name

FRED W

Last Name

LENZ

Business Name

FRED W LENZ

Expiration Date

01/01/1997

City

CHICAGO

State

Zip

60625

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2005