KENNY LEE FRITZ JR Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****45

License Status

NOT RENEWED

Business

First Name

KENNY

Middle

LEE

Last Name

FRITZ JR

Business Name

KENNY LEE FRITZ JR

Original Issue Date

05/29/2020

Effective Date

05/29/2020

Expiration Date

05/31/2022

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/27/2022