STACIE RENEE LYNN OD - Optometrist License in Illinois | # 047930672

STACIE RENEE LYNN OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930672

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

10/08/2004

Effective Date

01/18/2006

Expiration Date

03/31/2008

State

IL

Ever Disciplined

N

LastModifiedDate

05/02/2008