THOMAS JOHN LENZ OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047933266

License Status

NOT RENEWED

Business

Title

First Name

THOMAS

Middle

JOHN

Last Name

LENZ

Business Name

THOMAS JOHN LENZ OD

Original Issue Date

08/07/2007

Effective Date

08/07/2007

Expiration Date

03/31/2008

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2008