ROBERT E LOPEZ Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930642

License Status

NOT RENEWED

Business

First Name

ROBERT E

Last Name

LOPEZ

Business Name

ROBERT E LOPEZ

Original Issue Date

10/04/2004

Effective Date

01/18/2006

Expiration Date

03/31/2008

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2008