LEROY C LATALL Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047905464

License Status

NOT RENEWED

Business

First Name

LEROY C

Last Name

LATALL

Business Name

LEROY C LATALL

Original Issue Date

05/31/1984

Expiration Date

03/31/1986

City

COUNTRYSIDE

State

Zip

60525

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2005