CAMERON LAYTON LAPP OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930612

License Status

NOT RENEWED

Business

Title

First Name

CAMERON

Middle

LAYTON

Last Name

LAPP

Business Name

CAMERON LAYTON LAPP OD

Original Issue Date

09/22/2004

Effective Date

09/22/2004

Expiration Date

03/31/2006

City

LA GRANGE

State

Zip

60525

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006