JEANIE C LUCY OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047008653

License Status

NOT RENEWED

Business

First Name

JEANIE

Middle

Last Name

LUCY

Suffix

Business Name

JEANIE C LUCY OD

Original Issue Date

12/18/1996

Expiration Date

03/31/1998

City

EVERGREEN PARK

State

Zip

60805

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2005