KRISTIN E LARSON OD - Optometrist License in Illinois | # 047929010

KRISTIN E LARSON OD

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047929010

License Status

CANCELLED

Business

N

First Name

KRISTIN

Middle

E

Last Name

LARSON

Suffix

OD

Business Name

KRISTIN E LARSON OD

Original Issue Date

09/26/2002

Effective Date

05/22/2003

Expiration Date

03/31/2004

State

IL

Ever Disciplined

N

LastModifiedDate

09/01/2005