LAMONT MARK SPRAGUE OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047926232

License Status

NOT RENEWED

Business

First Name

LAMONT

Middle

MARK

Last Name

SPRAGUE

Suffix

Business Name

LAMONT MARK SPRAGUE OD

Original Issue Date

05/10/1999

Effective Date

05/18/2000

Expiration Date

03/31/2000

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Ever Disciplined

LastModifiedDate

09/11/2005