BRUCE T KATZ OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047934264

License Status

CANCELLED

Business

Title

First Name

BRUCE

Middle

Last Name

KATZ

Business Name

BRUCE T KATZ OD

Original Issue Date

06/04/2008

Effective Date

06/04/2008

Expiration Date

03/31/2010

City

LOMBARD

State

Zip

60148

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/04/2010