MARY S LILLY OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047018825

License Status

NOT RENEWED

Business

First Name

MARY

Middle

Last Name

LILLY

Suffix

Business Name

MARY S LILLY OD

Original Issue Date

05/28/1996

Expiration Date

03/31/1998

City

ELGIN

State

Zip

60123

County

KANE

Ever Disciplined

LastModifiedDate

09/01/2005