JANICE M PETERSEN EASTY Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047932190

License Status

NOT RENEWED

Business

First Name

JANICE M

Last Name

PETERSEN EASTY

Business Name

JANICE M PETERSEN EASTY

Original Issue Date

04/25/2006

Effective Date

04/25/2006

Expiration Date

03/31/2008

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Ever Disciplined

LastModifiedDate

05/02/2008