GLENN DONALD KUELTZO Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047206541

License Status

NOT RENEWED

Business

First Name

GLENN DONALD

Last Name

KUELTZO

Business Name

GLENN DONALD KUELTZO

Original Issue Date

01/28/1981

Expiration Date

05/01/1982

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2005