E J LACROIX OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047929126

License Status

NOT RENEWED

Business

First Name

Middle

Last Name

LACROIX

Suffix

Business Name

E J LACROIX OD

Original Issue Date

11/01/2002

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

STERLING

State

Zip

61081

County

WHITESIDE

Ever Disciplined

LastModifiedDate

09/11/2005