FLOYD D MIZENER Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047926891

License Status

NOT RENEWED

Business

First Name

FLOYD D

Last Name

MIZENER

Business Name

FLOYD D MIZENER

Original Issue Date

03/31/2000

Expiration Date

03/31/2002

City

CHICAGO

State

Zip

60655

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005