MIKLOS BALOGH OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047927309

License Status

CANCELLED

Business

Title

First Name

MIKLOS

Last Name

BALOGH

Business Name

MIKLOS BALOGH OD

Original Issue Date

08/02/2000

Effective Date

09/12/2000

Expiration Date

03/31/2002

City

CRESTWOOD

State

Zip

60445

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2005