KRISTIN E LARSON OD - Optometrist License in Illinois | # 046009492

KRISTIN E LARSON OD

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046009492

License Status

INACTIVE

Business

N

First Name

KRISTIN

Middle

E

Last Name

LARSON

Suffix

OD

Business Name

KRISTIN E LARSON OD

Original Issue Date

08/01/2002

Effective Date

02/02/2005

Expiration Date

03/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

08/31/2005