LISA K HECKMAN Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047932035

License Status

CANCELLED

Business

First Name

LISA K

Last Name

HECKMAN

Business Name

LISA K HECKMAN

Original Issue Date

04/18/2006

Effective Date

03/04/2009

Expiration Date

03/31/2010

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/04/2010