MARY FRITZ JORDAN OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047027914

License Status

CANCELLED

Business

First Name

MARY

Middle

FRITZ

Last Name

JORDAN

Suffix

Business Name

MARY FRITZ JORDAN OD

Original Issue Date

06/05/1996

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

WHEATON

State

Zip

60187

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/04/2010