MICHAEL CHARLES LOCK OD - Optometrist License in Illinois | # 047931162

MICHAEL CHARLES LOCK OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047931162

License Status

NOT RENEWED

Business

N

First Name

MICHAEL

Middle

CHARLES

Last Name

LOCK

Suffix

OD

Business Name

MICHAEL CHARLES LOCK OD

Original Issue Date

05/05/2005

Effective Date

05/05/2005

Expiration Date

03/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2006