LISA MICHELE MEADOWS OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930299

License Status

NOT RENEWED

Business

First Name

LISA

Middle

MICHELE

Last Name

MEADOWS

Suffix

Business Name

LISA MICHELE MEADOWS OD

Original Issue Date

06/16/2004

Effective Date

06/16/2004

Expiration Date

03/31/2006

City

SKOKIE

State

Zip

60077

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006