LORI ANN RICHARD OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047931774

License Status

CANCELLED

Business

First Name

LORI

Middle

ANN

Last Name

RICHARD

Suffix

Business Name

LORI ANN RICHARD OD

Original Issue Date

03/03/2006

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

05/04/2010