E J LACROIX OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047927970

License Status

NOT RENEWED

Business

First Name

Middle

Last Name

LACROIX

Suffix

Business Name

E J LACROIX OD

Original Issue Date

06/29/2001

Effective Date

04/15/2002

Expiration Date

03/31/2002

City

ROCKFORD

State

Zip

61112

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/11/2005