LISA ROSE THATCH OD - Optometrist License in Illinois | # 047930706

LISA ROSE THATCH OD

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930706

License Status

CANCELLED

Business

N

First Name

LISA

Middle

ROSE

Last Name

THATCH

Suffix

OD

Business Name

LISA ROSE THATCH OD

Original Issue Date

11/05/2004

Effective Date

01/10/2008

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010