STANLEY E LAUSEN Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047105580

License Status

CANCELLED

Business

First Name

STANLEY E

Last Name

LAUSEN

Business Name

STANLEY E LAUSEN

Original Issue Date

07/02/1973

Expiration Date

01/01/1997

City

CHICAGO

State

Zip

60623

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2005