LORI SKAROSI JOHNSTON OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047929345

License Status

NOT RENEWED

Business

First Name

LORI

Middle

SKAROSI

Last Name

JOHNSTON

Suffix

Business Name

LORI SKAROSI JOHNSTON OD

Original Issue Date

03/12/2003

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

GURNEE

State

Zip

60031

County

LAKE

Ever Disciplined

LastModifiedDate

09/11/2005