STEVEN HENRY LANE Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047707319

License Status

NOT RENEWED

Business

First Name

STEVEN HENRY

Last Name

LANE

Business Name

STEVEN HENRY LANE

Original Issue Date

12/24/1987

Effective Date

05/18/2000

Expiration Date

03/31/2000

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

09/11/2005