LEROY C LATALL Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047805464

License Status

NOT RENEWED

Business

First Name

LEROY C

Last Name

LATALL

Business Name

LEROY C LATALL

Original Issue Date

04/23/1979

Expiration Date

01/01/1997

City

CHICAGO

State

Zip

60647

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2005