ELIZABETH MARY HART-CARLOCK OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047926104

License Status

NOT RENEWED

Business

First Name

ELIZABETH

Middle

MARY

Last Name

HART-CARLOCK

Suffix

Business Name

ELIZABETH MARY HART-CARLOCK OD

Original Issue Date

01/25/1999

Effective Date

05/18/2000

Expiration Date

03/31/2000

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/11/2005