EDGAR SAMUEL PEREZ OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047927638

License Status

CANCELLED

Business

First Name

EDGAR

Middle

SAMUEL

Last Name

PEREZ

Suffix

Business Name

EDGAR SAMUEL PEREZ OD

Original Issue Date

12/11/2000

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

ELK GROVE VILLAGE

State

Zip

60007

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010