LYNNE C STANFORD OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046009317

License Status

NOT RENEWED

Business

First Name

LYNNE

Middle

Last Name

STANFORD

Suffix

Business Name

LYNNE C STANFORD OD

Original Issue Date

11/09/2000

Effective Date

04/13/2018

Expiration Date

09/30/2020

City

ELK GROVE VILLAGE

State

Zip

60007

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021