SAM LANE Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046004044

License Status

INACTIVE

Business

First Name

SAM

Last Name

LANE

Business Name

SAM LANE

Expiration Date

03/31/1986

City

LINCOLNWOOD

State

Zip

60646

County

COOK

Ever Disciplined

LastModifiedDate

08/31/2005