LANCE E UNDERWOOD OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047929927

License Status

CANCELLED

Business

First Name

LANCE

Middle

Last Name

UNDERWOOD

Suffix

Business Name

LANCE E UNDERWOOD OD

Original Issue Date

12/19/2003

Effective Date

03/23/2004

Expiration Date

03/31/2006

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

01/18/2006