EDWARD J LAUT Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047715210

License Status

NOT RENEWED

Business

First Name

EDWARD J

Last Name

LAUT

Business Name

EDWARD J LAUT

Original Issue Date

06/19/1996

Expiration Date

03/31/1998

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

09/01/2005