LISA K HECKMAN Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047931259

License Status

NOT RENEWED

Business

First Name

LISA K

Last Name

HECKMAN

Business Name

LISA K HECKMAN

Original Issue Date

07/06/2005

Effective Date

07/06/2005

Expiration Date

03/31/2006

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/11/2006