LAURIE L COLLETT OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047925247

License Status

CANCELLED

Business

Title

First Name

LAURIE

Middle

Last Name

COLLETT

Business Name

LAURIE L COLLETT OD

Original Issue Date

03/13/1997

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010