EDWARD W LENZEN Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047004862

License Status

CANCELLED

Business

First Name

EDWARD W

Last Name

LENZEN

Business Name

EDWARD W LENZEN

Expiration Date

01/01/1997

City

CHICAGO

State

Zip

60616

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2005