JEROME C LIETZ - Optometrist License in Illinois | # 047928879

JEROME C LIETZ

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047928879

License Status

NOT RENEWED

Business

N

First Name

JEROME C

Last Name

LIETZ

Business Name

JEROME C LIETZ

Original Issue Date

08/15/2002

Effective Date

01/18/2006

Expiration Date

03/31/2008

State

IL

Ever Disciplined

N

LastModifiedDate

05/02/2008