LISA BETH SPEVACEK OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047926717

License Status

NOT RENEWED

Business

Title

First Name

LISA

Middle

BETH

Last Name

SPEVACEK

Business Name

LISA BETH SPEVACEK OD

Original Issue Date

01/14/2000

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

ARLINGTON HEIGHTS

State

Zip

60005

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005