LAURIE L FLAGEL Optometrist License verification

Business Entity

INOPERATIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047018799

License Status

INOPERATIVE

Business

First Name

LAURIE L

Last Name

FLAGEL

Business Name

LAURIE L FLAGEL

Original Issue Date

05/08/1996

Effective Date

03/20/2002

Expiration Date

03/31/2002

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2005