RICHARD D LENZEN OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047931478

License Status

CANCELLED

Business

Title

First Name

RICHARD

Middle

Last Name

LENZEN

Business Name

RICHARD D LENZEN OD

Original Issue Date

08/25/2005

Effective Date

02/08/2008

Expiration Date

03/31/2010

City

PROSPECT HEIGHTS

State

Zip

60070

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010