LEROY C LATALL - Optometrist License in Illinois | # 047185464

LEROY C LATALL

Business Entity

INOPERATIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047185464

License Status

INOPERATIVE

Business

N

First Name

LEROY C

Last Name

LATALL

Business Name

LEROY C LATALL

Original Issue Date

05/09/1994

Expiration Date

03/31/1998

State

IL

Ever Disciplined

N

LastModifiedDate

09/01/2005