ANGELICA PEREZ OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930560

License Status

NOT RENEWED

Business

Title

First Name

ANGELICA

Last Name

PEREZ

Business Name

ANGELICA PEREZ OD

Original Issue Date

09/02/2004

Effective Date

09/02/2004

Expiration Date

03/31/2006

City

CHICAGO

State

Zip

60652

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006