LEROY C LATALL - Optometrist License in Illinois | # 047305464

LEROY C LATALL

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047305464

License Status

CANCELLED

Business

N

First Name

LEROY C

Last Name

LATALL

Business Name

LEROY C LATALL

Original Issue Date

09/25/1974

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

09/01/2005