LISA M GREENE OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047008517

License Status

NOT RENEWED

Business

First Name

LISA M

Last Name

GREENE

Suffix

Business Name

LISA M GREENE OD

Original Issue Date

05/03/1994

Expiration Date

03/31/1996

City

EFFINGHAM

State

Zip

62401

County

EFFINGHAM

Ever Disciplined

LastModifiedDate

09/01/2005