CAMERON LAYTON LAPP OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047929383

License Status

NOT RENEWED

Business

Title

First Name

CAMERON

Middle

LAYTON

Last Name

LAPP

Business Name

CAMERON LAYTON LAPP OD

Original Issue Date

03/26/2003

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

CHICAGO

State

Zip

60643

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005