LANCE E UNDERWOOD OD - Optometrist License in Illinois | # 046009609

LANCE E UNDERWOOD OD

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046009609

License Status

INACTIVE

Business

N

First Name

LANCE

Middle

E

Last Name

UNDERWOOD

Suffix

OD

Business Name

LANCE E UNDERWOOD OD

Original Issue Date

11/05/2003

Effective Date

03/23/2004

Expiration Date

03/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

01/18/2006