DOMINICK LOUIS OPITZ OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047933935

License Status

CANCELLED

Business

First Name

DOMINICK

Middle

LOUIS

Last Name

OPITZ

Suffix

Business Name

DOMINICK LOUIS OPITZ OD

Original Issue Date

03/27/2008

Effective Date

03/27/2008

Expiration Date

03/31/2010

City

PALOS HEIGHTS

State

Zip

60463

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010