LANCE E UNDERWOOD OD Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046009609

License Status

INACTIVE

Business

First Name

LANCE

Middle

Last Name

UNDERWOOD

Suffix

Business Name

LANCE E UNDERWOOD OD

Original Issue Date

11/05/2003

Effective Date

03/23/2004

Expiration Date

03/31/2006

City

CHICAGO RIDGE

State

Zip

60415

County

COOK

Ever Disciplined

LastModifiedDate

01/18/2006