LEROY C LATALL Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047205464

License Status

CANCELLED

Business

First Name

LEROY C

Last Name

LATALL

Business Name

LEROY C LATALL

Original Issue Date

09/25/1974

Expiration Date

01/01/1997

City

CHICAGO

State

Zip

60623

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2005