AMY LYNN LAGINA Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930621

License Status

NOT RENEWED

Business

First Name

AMY

Middle

LYNN

Last Name

LAGINA

Business Name

AMY LYNN LAGINA

Original Issue Date

09/29/2004

Effective Date

11/18/2004

Expiration Date

03/31/2006

City

CHICAGO

State

Zip

60602

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006