LISA K HECKMAN Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047926610

License Status

NOT RENEWED

Business

First Name

LISA K

Last Name

HECKMAN

Business Name

LISA K HECKMAN

Original Issue Date

11/19/1999

Effective Date

04/15/2002

Expiration Date

03/31/2002

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

09/11/2005