ALLISON SUE WALZ OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****60

License Status

NOT RENEWED

Business

First Name

ALLISON

Middle

SUE

Last Name

WALZ

Suffix

Business Name

ALLISON SUE WALZ OD

Original Issue Date

04/02/2010

Effective Date

03/23/2016

Expiration Date

03/31/2018

City

NAPERVILLE

State

Zip

60563

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/19/2018