LAURIE L COLLETT OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047008862

License Status

CANCELLED

Business

Title

First Name

LAURIE

Middle

Last Name

COLLETT

Business Name

LAURIE L COLLETT OD

Original Issue Date

06/20/1996

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

MANTENO

State

Zip

60950

County

KANKAKEE

Ever Disciplined

LastModifiedDate

05/04/2010