LEROY C LATALL Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047125464

License Status

NOT RENEWED

Business

First Name

LEROY C

Last Name

LATALL

Business Name

LEROY C LATALL

Original Issue Date

05/31/1985

Expiration Date

03/31/1986

City

ROUND LAKE BEACH

State

Zip

60073

County

LAKE

Ever Disciplined

LastModifiedDate

09/01/2005