LORI SKAROSI JOHNSTON OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047926901

License Status

NOT RENEWED

Business

First Name

LORI

Middle

SKAROSI

Last Name

JOHNSTON

Suffix

Business Name

LORI SKAROSI JOHNSTON OD

Original Issue Date

04/03/2000

Effective Date

04/15/2002

Expiration Date

03/31/2002

City

CHICAGO RIDGE

State

Zip

60415

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005