LEO J PRENTICE Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046007225

License Status

INACTIVE

Business

First Name

LEO J

Last Name

PRENTICE

Business Name

LEO J PRENTICE

Original Issue Date

08/06/1979

Effective Date

03/21/2016

Expiration Date

03/31/2018

City

WOODRIDGE

State

Zip

60517

County

DUPAGE

Ever Disciplined

LastModifiedDate

01/12/2018