RICHARD D LENZEN OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047207145

License Status

NOT RENEWED

Business

Title

First Name

RICHARD

Middle

Last Name

LENZEN

Business Name

RICHARD D LENZEN OD

Original Issue Date

05/11/1987

Expiration Date

03/31/1988

City

DES PLAINES

State

Zip

60016

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2005

Case Number

2003000067

Action

Probation

Discipline Start Date

05/18/2005

Discipline End Date

05/17/2008