LORI SKAROSI JOHNSTON OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047927830

License Status

NOT RENEWED

Business

First Name

LORI

Middle

SKAROSI

Last Name

JOHNSTON

Suffix

Business Name

LORI SKAROSI JOHNSTON OD

Original Issue Date

04/02/2001

Effective Date

04/15/2002

Expiration Date

03/31/2002

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/11/2005