GLENN DONALD KUELTZO Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047927901

License Status

CANCELLED

Business

First Name

GLENN DONALD

Last Name

KUELTZO

Business Name

GLENN DONALD KUELTZO

Original Issue Date

05/15/2001

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

HOMER GLEN

State

Zip

60491

County

WILL

Ever Disciplined

LastModifiedDate

05/04/2010