EDWARD J LAUT Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047105210

License Status

NOT RENEWED

Business

First Name

EDWARD J

Last Name

LAUT

Business Name

EDWARD J LAUT

Original Issue Date

07/15/1994

Expiration Date

03/31/1996

City

BLOOMINGTON

State

Zip

60108

County

MCLEAN

Ever Disciplined

LastModifiedDate

09/01/2005