KEITH A LA VALLEE OD - Optometrist License in Illinois | # 047926575

KEITH A LA VALLEE OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047926575

License Status

NOT RENEWED

Business

N

First Name

KEITH

Middle

A

Last Name

LA VALLEE

Suffix

OD

Business Name

KEITH A LA VALLEE OD

Original Issue Date

11/16/1999

Effective Date

05/18/2000

Expiration Date

03/31/2000

State

IL

Ever Disciplined

N

LastModifiedDate

09/11/2005