JEROME C LIETZ Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047925898

License Status

NOT RENEWED

Business

First Name

JEROME C

Last Name

LIETZ

Business Name

JEROME C LIETZ

Original Issue Date

09/24/1998

Effective Date

05/18/2000

Expiration Date

03/31/2000

City

WEST DUNDEE

State

Zip

60118

County

KANE

Ever Disciplined

LastModifiedDate

09/11/2005