GREG R WALDORF OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047927326

License Status

NOT RENEWED

Business

First Name

GREG R

Last Name

WALDORF

Suffix

Business Name

GREG R WALDORF OD

Original Issue Date

08/10/2000

Effective Date

04/15/2002

Expiration Date

03/31/2002

City

GURNEE

State

Zip

60031

County

LAKE

Ever Disciplined

LastModifiedDate

09/11/2005