LEO J PRENTICE Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047007225

License Status

NOT RENEWED

Business

First Name

LEO J

Last Name

PRENTICE

Business Name

LEO J PRENTICE

Original Issue Date

05/12/1989

Effective Date

04/15/2002

Expiration Date

03/31/2002

City

BRAIDWOOD

State

Zip

60408

County

WILL

Ever Disciplined

LastModifiedDate

09/11/2005