TRACEY LYNN MANBECK - Optometrist License in Illinois | # 047930341

TRACEY LYNN MANBECK

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930341

License Status

NOT RENEWED

Business

N

First Name

TRACEY

Middle

LYNN

Last Name

MANBECK

Business Name

TRACEY LYNN MANBECK

Original Issue Date

06/24/2004

Effective Date

06/24/2004

Expiration Date

03/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2006