EDWARD J LAUT Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047926772

License Status

NOT RENEWED

Business

First Name

EDWARD J

Last Name

LAUT

Business Name

EDWARD J LAUT

Original Issue Date

02/14/2000

Effective Date

04/15/2002

Expiration Date

03/31/2002

City

CENTRALIA

State

Zip

62801

County

MARION

Ever Disciplined

LastModifiedDate

09/11/2005