INGRYD J LORENZANA OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047929904

License Status

NOT RENEWED

Business

First Name

INGRYD

Middle

Last Name

LORENZANA

Suffix

Business Name

INGRYD J LORENZANA OD

Original Issue Date

12/11/2003

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005