MARY S LILLY OD Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046008825

License Status

INACTIVE

Business

First Name

MARY

Middle

Last Name

LILLY

Suffix

Business Name

MARY S LILLY OD

Original Issue Date

08/28/1995

Effective Date

04/12/2000

Expiration Date

03/31/2000

City

VALRICO

State

Zip

33596

Ever Disciplined

LastModifiedDate

09/11/2005