RICHARD D LENZEN OD - Optometrist License in Illinois | # 047931723

RICHARD D LENZEN OD

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047931723

License Status

CANCELLED

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

01/10/2008

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010