SAM LANE - Optometrist License in Illinois | # 046004044

SAM LANE

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046004044

License Status

INACTIVE

Business

N

First Name

SAM

Last Name

LANE

Business Name

SAM LANE

Expiration Date

03/31/1986

State

IL

Ever Disciplined

N

LastModifiedDate

08/31/2005