LORI A STAUCH OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047925686

License Status

NOT RENEWED

Business

First Name

LORI

Middle

Last Name

STAUCH

Suffix

Business Name

LORI A STAUCH OD

Original Issue Date

05/26/1998

Effective Date

05/18/2000

Expiration Date

03/31/2000

City

BEDFORD PARK

State

Zip

60638

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005