JEANIE C LUCY OD - Optometrist License in Illinois | # 047928948

JEANIE C LUCY OD

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047928948

License Status

CANCELLED

Business

N

First Name

JEANIE

Middle

C

Last Name

LUCY

Suffix

OD

Business Name

JEANIE C LUCY OD

Original Issue Date

09/04/2002

Effective Date

01/10/2008

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010