BRUCE T KATZ OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930112

License Status

CANCELLED

Business

Title

First Name

BRUCE

Middle

Last Name

KATZ

Business Name

BRUCE T KATZ OD

Original Issue Date

04/27/2004

Effective Date

08/09/2005

Expiration Date

03/31/2006

City

ARLINGTON HEIGHTS

State

Zip

60005

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2005