CAMERON LAYTON LAPP OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047929207

License Status

NOT RENEWED

Business

Title

First Name

CAMERON

Middle

LAYTON

Last Name

LAPP

Business Name

CAMERON LAYTON LAPP OD

Original Issue Date

12/16/2002

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

HAZEL CREST

State

Zip

60429

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005