MICHAEL CHARLES LOCK OD - Optometrist License in Illinois | # 047930453

MICHAEL CHARLES LOCK OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930453

License Status

NOT RENEWED

Business

N

First Name

MICHAEL

Middle

CHARLES

Last Name

LOCK

Suffix

OD

Business Name

MICHAEL CHARLES LOCK OD

Original Issue Date

08/13/2004

Effective Date

08/13/2004

Expiration Date

03/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2006