STACIE RENEE LYNN OD - Optometrist License in Illinois | # 047930408

STACIE RENEE LYNN OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930408

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

07/20/2004

Effective Date

07/20/2004

Expiration Date

03/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2006