LISA BETH SPEVACEK OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047929202

License Status

NOT RENEWED

Business

Title

First Name

LISA

Middle

BETH

Last Name

SPEVACEK

Business Name

LISA BETH SPEVACEK OD

Original Issue Date

12/16/2002

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

GENEVA

State

Zip

60134

County

KANE

Ever Disciplined

LastModifiedDate

09/11/2005