MIKLOS BALOGH OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047925928

License Status

CANCELLED

Business

Title

First Name

MIKLOS

Last Name

BALOGH

Business Name

MIKLOS BALOGH OD

Original Issue Date

10/08/1998

Effective Date

08/16/1999

Expiration Date

03/31/2000

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Ever Disciplined

LastModifiedDate

09/01/2005