SHARNA A WILTZ OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047928936

License Status

NOT RENEWED

Business

First Name

SHARNA

Middle

Last Name

WILTZ

Suffix

Business Name

SHARNA A WILTZ OD

Original Issue Date

09/04/2002

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

CHICAGO RIDGE

State

Zip

60415

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005