LANCE E UNDERWOOD OD - Optometrist License in Illinois | # 047929927

LANCE E UNDERWOOD OD

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047929927

License Status

CANCELLED

Business

N

First Name

LANCE

Middle

E

Last Name

UNDERWOOD

Suffix

OD

Business Name

LANCE E UNDERWOOD OD

Original Issue Date

12/19/2003

Effective Date

03/23/2004

Expiration Date

03/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

01/18/2006