EDGAR SAMUEL PEREZ OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047027814

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

05/18/2000

Expiration Date

03/31/2000

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005