J LAWRENCE ROSE Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047002532

License Status

CANCELLED

Business

First Name

J LAWRENCE

Last Name

ROSE

Business Name

J LAWRENCE ROSE

Expiration Date

01/01/1997

City

EVANSTON

State

Zip

60203

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2005