MICHAEL CHARLES LOCK OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047932167

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

CHARLES

Last Name

LOCK

Suffix

Business Name

MICHAEL CHARLES LOCK OD

Original Issue Date

04/21/2006

Effective Date

04/21/2006

Expiration Date

03/31/2008

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2008