MIKLOS BALOGH OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047925621

License Status

CANCELLED

Business

Title

First Name

MIKLOS

Last Name

BALOGH

Business Name

MIKLOS BALOGH OD

Original Issue Date

05/13/1998

Effective Date

08/21/2006

Expiration Date

03/31/2008

City

CHICAGO RIDGE

State

Zip

60415

County

COOK

Ever Disciplined

LastModifiedDate

08/21/2006