EDWARD J LAUT Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047927625

License Status

NOT RENEWED

Business

First Name

EDWARD J

Last Name

LAUT

Business Name

EDWARD J LAUT

Original Issue Date

11/30/2000

Effective Date

04/15/2002

Expiration Date

03/31/2002

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/11/2005