LORI SKAROSI JOHNSTON OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930572

License Status

CANCELLED

Business

First Name

LORI

Middle

SKAROSI

Last Name

JOHNSTON

Suffix

Business Name

LORI SKAROSI JOHNSTON OD

Original Issue Date

09/10/2004

Effective Date

09/10/2004

Expiration Date

03/31/2006

City

ARLINGTON HEIGHTS

State

Zip

60004

County

COOK

Ever Disciplined

LastModifiedDate

01/18/2006