KRISTIN E LARSON OD - Optometrist License in Illinois | # 047929464

KRISTIN E LARSON OD

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047929464

License Status

CANCELLED

Business

N

First Name

KRISTIN

Middle

E

Last Name

LARSON

Suffix

OD

Business Name

KRISTIN E LARSON OD

Original Issue Date

05/20/2003

Effective Date

02/02/2005

Expiration Date

03/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

09/01/2005