RICHARD D LENZEN OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047931888

License Status

CANCELLED

Business

Title

First Name

RICHARD

Middle

Last Name

LENZEN

Business Name

RICHARD D LENZEN OD

Original Issue Date

04/03/2006

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

LAKE BLUFF

State

Zip

60044

County

LAKE

Ever Disciplined

LastModifiedDate

05/04/2010