STEVEN HENRY LANE Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047807319

License Status

NOT RENEWED

Business

First Name

STEVEN HENRY

Last Name

LANE

Business Name

STEVEN HENRY LANE

Original Issue Date

09/30/1989

Expiration Date

03/31/1992

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

09/01/2005