MARY FRITZ JORDAN OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****04

License Status

NOT RENEWED

Business

First Name

MARY

Middle

FRITZ

Last Name

JORDAN

Suffix

Business Name

MARY FRITZ JORDAN OD

Original Issue Date

12/16/1997

Effective Date

01/12/2000

Expiration Date

03/31/1998

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

01/18/2006