LORI ANN RICHARD OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047925912

License Status

NOT RENEWED

Business

First Name

LORI

Middle

ANN

Last Name

RICHARD

Suffix

Business Name

LORI ANN RICHARD OD

Original Issue Date

09/30/1998

Effective Date

04/15/2002

Expiration Date

03/31/2002

City

PEORIA

State

Zip

61603

County

PEORIA

Ever Disciplined

LastModifiedDate

09/11/2005