KEITH A LA VALLEE OD - Optometrist License in Illinois | # 047933566

KEITH A LA VALLEE OD

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047933566

License Status

CANCELLED

Business

N

First Name

KEITH

Middle

A

Last Name

LA VALLEE

Suffix

OD

Business Name

KEITH A LA VALLEE OD

Original Issue Date

11/14/2007

Effective Date

01/10/2008

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010