KEITH A LA VALLEE OD - Optometrist License in Illinois | # 047927062

KEITH A LA VALLEE OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047927062

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

05/15/2000

Effective Date

04/15/2002

Expiration Date

03/31/2002

State

IL

Ever Disciplined

N

LastModifiedDate

09/11/2005