THOMAS JOHN LENZ OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****73

License Status

NOT RENEWED

Business

Title

First Name

THOMAS

Middle

JOHN

Last Name

LENZ

Business Name

THOMAS JOHN LENZ OD

Original Issue Date

06/20/2006

Effective Date

06/20/2006

Expiration Date

03/31/2008

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

05/02/2008