E J LACROIX OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930968

License Status

NOT RENEWED

Business

First Name

Middle

Last Name

LACROIX

Suffix

Business Name

E J LACROIX OD

Original Issue Date

03/10/2005

Effective Date

03/10/2005

Expiration Date

03/31/2006

City

ROCKFORD

State

Zip

61112

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/11/2006