GLENN DONALD KUELTZO Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047106541

License Status

CANCELLED

Business

First Name

GLENN DONALD

Last Name

KUELTZO

Business Name

GLENN DONALD KUELTZO

Original Issue Date

06/12/1979

Expiration Date

01/01/1997

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2005