ALLISON SUE WALZ OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047935632

License Status

CANCELLED

Business

First Name

ALLISON

Middle

SUE

Last Name

WALZ

Suffix

Business Name

ALLISON SUE WALZ OD

Original Issue Date

08/24/2009

Effective Date

08/24/2009

Expiration Date

03/31/2010

City

CHICAGO

State

Zip

60660

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010