GREG R WALDORF OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047926213

License Status

NOT RENEWED

Business

First Name

GREG R

Last Name

WALDORF

Suffix

Business Name

GREG R WALDORF OD

Original Issue Date

04/20/1999

Effective Date

05/18/2000

Expiration Date

03/31/2000

City

LINDENHURST

State

Zip

60046

County

LAKE

Ever Disciplined

LastModifiedDate

09/11/2005