ANNE SPIES ROZWAT Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047926231

License Status

NOT RENEWED

Business

First Name

ANNE

Middle

SPIES

Last Name

ROZWAT

Business Name

ANNE SPIES ROZWAT

Original Issue Date

05/10/1999

Effective Date

04/15/2002

Expiration Date

03/31/2002

City

CHICAGO RIDGE

State

Zip

60415

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005