LEROY C LATALL Optometrist License verification

Business Entity

INOPERATIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047185464

License Status

INOPERATIVE

Business

First Name

LEROY C

Last Name

LATALL

Business Name

LEROY C LATALL

Original Issue Date

05/09/1994

Expiration Date

03/31/1998

City

SKOKIE

State

Zip

60077

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2005