KIMBERLY ANN MENZA Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****33

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

ANN

Last Name

MENZA

Business Name

KIMBERLY ANN MENZA

Original Issue Date

06/22/2009

Effective Date

06/22/2009

Expiration Date

03/31/2010

City

OAK LAWN

State

Zip

60453

County

COOK

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/04/2010