CHARLES E MAROLD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047925282

License Status

NOT RENEWED

Business

First Name

CHARLES E

Last Name

MAROLD

Business Name

CHARLES E MAROLD

Original Issue Date

04/08/1997

Effective Date

04/15/2002

Expiration Date

03/31/2002

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/11/2005