LISA M POLITZA OD Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****00

License Status

INACTIVE

Business

First Name

LISA M

Last Name

POLITZA

Suffix

Business Name

LISA M POLITZA OD

Original Issue Date

06/13/1996

Effective Date

03/23/2022

Expiration Date

03/31/2024

City

CROWN POINT

State

Zip

46307

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

06/06/2022