EDGAR SAMUEL PEREZ OD - Optometrist License in Illinois | # 047017814

EDGAR SAMUEL PEREZ OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047017814

License Status

NOT RENEWED

Business

N

First Name

EDGAR

Middle

SAMUEL

Last Name

PEREZ

Suffix

OD

Business Name

EDGAR SAMUEL PEREZ OD

Original Issue Date

08/06/1996

Effective Date

04/15/2002

Expiration Date

03/31/2002

State

IL

Ever Disciplined

N

LastModifiedDate

09/11/2005