ELIZABETH MARY HART-CARLOCK OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047926107

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

04/15/2002

Expiration Date

03/31/2002

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005