JEROME C LIETZ Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047928879

License Status

NOT RENEWED

Business

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

City

JOLIET

State

Zip

60435

County

WILL

Ever Disciplined

LastModifiedDate

05/02/2008