SHARNA A WILTZ OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047929001

License Status

CANCELLED

Business

First Name

SHARNA

Middle

Last Name

WILTZ

Suffix

Business Name

SHARNA A WILTZ OD

Original Issue Date

09/25/2002

Effective Date

01/02/2008

Expiration Date

03/31/2010

City

CHICAGO

State

Zip

60619

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010