RICHARD D LENZEN OD - Optometrist License in Illinois | # 047931722

RICHARD D LENZEN OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047931722

License Status

NOT RENEWED

Business

N

Title

OD

First Name

RICHARD

Middle

D

Last Name

LENZEN

Business Name

RICHARD D LENZEN OD

Original Issue Date

02/16/2006

Effective Date

02/16/2006

Expiration Date

03/31/2008

State

IL

Ever Disciplined

N

LastModifiedDate

05/02/2008