CONRAD W STOLL OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047006250

License Status

NOT RENEWED

Business

Title

First Name

CONRAD

Middle

Last Name

STOLL

Business Name

CONRAD W STOLL OD

Original Issue Date

07/28/1972

Expiration Date

01/01/1997

City

WHEATON

State

Zip

60187

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/01/2005