E J LACROIX OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047927363

License Status

NOT RENEWED

Business

First Name

Middle

Last Name

LACROIX

Suffix

Business Name

E J LACROIX OD

Original Issue Date

08/25/2000

Effective Date

07/21/2004

Expiration Date

03/31/2006

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Ever Disciplined

LastModifiedDate

05/11/2006