EDWARD J LAUT Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047925494

License Status

NOT RENEWED

Business

First Name

EDWARD J

Last Name

LAUT

Business Name

EDWARD J LAUT

Original Issue Date

11/06/1997

Effective Date

06/12/1999

Expiration Date

03/31/1998

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

09/01/2005