ANNA E LAWRENCE OD Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047928853

License Status

INACTIVE

Business

First Name

ANNA

Middle

Last Name

LAWRENCE

Suffix

Business Name

ANNA E LAWRENCE OD

Original Issue Date

08/14/2002

Effective Date

03/16/2004

Expiration Date

03/31/2004

City

WEST DUNDEE

State

Zip

60118

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005