MIKLOS BALOGH OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047926277

License Status

CANCELLED

Business

Title

First Name

MIKLOS

Last Name

BALOGH

Business Name

MIKLOS BALOGH OD

Original Issue Date

06/25/1999

Effective Date

10/22/2002

Expiration Date

03/31/2004

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2005