STEVEN HENRY LANE Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047007319

License Status

NOT RENEWED

Business

First Name

STEVEN HENRY

Last Name

LANE

Business Name

STEVEN HENRY LANE

Original Issue Date

08/26/1986

Expiration Date

03/31/1988

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

09/01/2005