INGRYD J LORENZANA OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930104

License Status

CANCELLED

Business

First Name

INGRYD

Middle

Last Name

LORENZANA

Suffix

Business Name

INGRYD J LORENZANA OD

Original Issue Date

04/26/2004

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

CHICAGO

State

Zip

60616

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010