LISA M YOUNG OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047932605

License Status

NOT RENEWED

Business

First Name

LISA

Middle

Last Name

YOUNG

Suffix

Business Name

LISA M YOUNG OD

Original Issue Date

10/30/2006

Effective Date

10/30/2006

Expiration Date

03/31/2008

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/02/2008