GLENN DONALD KUELTZO Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047306541

License Status

CANCELLED

Business

First Name

GLENN DONALD

Last Name

KUELTZO

Business Name

GLENN DONALD KUELTZO

Original Issue Date

01/17/1984

Effective Date

08/05/1999

Expiration Date

03/31/2000

City

FOREST PARK

State

Zip

60130

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2005