LYNNE C STANFORD OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047929751

License Status

NOT RENEWED

Business

First Name

LYNNE

Middle

Last Name

STANFORD

Suffix

Business Name

LYNNE C STANFORD OD

Original Issue Date

10/16/2003

Effective Date

01/18/2006

Expiration Date

03/31/2006

City

SCHAUMBURG

State

Zip

60173

County

COOK

Ever Disciplined

LastModifiedDate

03/03/2006