EDWARD J HEINISCH Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047007861

License Status

NOT RENEWED

Business

First Name

EDWARD J

Last Name

HEINISCH

Business Name

EDWARD J HEINISCH

Original Issue Date

12/27/1988

Expiration Date

03/31/1990

City

CHICAGO

State

Zip

60616

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2005