LORI ANN RICHARD OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047928481

License Status

NOT RENEWED

Business

First Name

LORI

Middle

ANN

Last Name

RICHARD

Suffix

Business Name

LORI ANN RICHARD OD

Original Issue Date

03/01/2002

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

09/11/2005