MARY FRITZ JORDAN OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****05

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

04/15/2002

Expiration Date

03/31/2002

City

AURORA

State

Zip

60504

County

DUPAGE

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

01/18/2006