EDGAR SAMUEL PEREZ OD - Optometrist License in Illinois | # 047927638

EDGAR SAMUEL PEREZ OD

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047927638

License Status

CANCELLED

Business

N

First Name

EDGAR

Middle

SAMUEL

Last Name

PEREZ

Suffix

OD

Business Name

EDGAR SAMUEL PEREZ OD

Original Issue Date

12/11/2000

Effective Date

01/10/2008

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010