EDWARD W LENZEN - Optometrist License in Illinois | # 047104862

EDWARD W LENZEN

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047104862

License Status

NOT RENEWED

Business

N

First Name

EDWARD W

Last Name

LENZEN

Business Name

EDWARD W LENZEN

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

09/01/2005