STACIE RENEE LYNN OD - Optometrist License in Illinois | # 047928128

STACIE RENEE LYNN OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047928128

License Status

NOT RENEWED

Business

N

First Name

STACIE

Middle

RENEE

Last Name

LYNN

Suffix

OD

Business Name

STACIE RENEE LYNN OD

Original Issue Date

09/04/2001

Effective Date

06/04/2004

Expiration Date

03/31/2004

State

IL

Ever Disciplined

N

LastModifiedDate

09/11/2005