EDGAR SAMUEL PEREZ OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047017814

License Status

NOT RENEWED

Business

First Name

EDGAR

Middle

SAMUEL

Last Name

PEREZ

Suffix

Business Name

EDGAR SAMUEL PEREZ OD

Original Issue Date

08/06/1996

Effective Date

04/15/2002

Expiration Date

03/31/2002

City

DES PLAINES

State

Zip

60018

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005