EDWARD W LENZEN Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047104862

License Status

NOT RENEWED

Business

First Name

EDWARD W

Last Name

LENZEN

Business Name

EDWARD W LENZEN

Expiration Date

01/01/1997

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2005