MARY S LILLY OD - Optometrist License in Illinois | # 047018825

MARY S LILLY OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047018825

License Status

NOT RENEWED

Business

N

First Name

MARY

Middle

S

Last Name

LILLY

Suffix

OD

Business Name

MARY S LILLY OD

Original Issue Date

05/28/1996

Expiration Date

03/31/1998

State

IL

Ever Disciplined

N

LastModifiedDate

09/01/2005