STEVEN HENRY LANE Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047207319

License Status

NOT RENEWED

Business

First Name

STEVEN HENRY

Last Name

LANE

Business Name

STEVEN HENRY LANE

Original Issue Date

04/24/1987

Expiration Date

03/31/1988

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/01/2005