BRUCE T KATZ OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047931252

License Status

NOT RENEWED

Business

Title

First Name

BRUCE

Middle

Last Name

KATZ

Business Name

BRUCE T KATZ OD

Original Issue Date

06/30/2005

Effective Date

06/30/2005

Expiration Date

03/31/2006

City

CHICAGO

State

Zip

60632

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006