LISA L WILSON OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047931380

License Status

CANCELLED

Business

First Name

LISA

Middle

Last Name

WILSON

Suffix

Business Name

LISA L WILSON OD

Original Issue Date

08/25/2005

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

OAK FOREST

State

Zip

60452

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010