LISA M YOUNG OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047933603

License Status

CANCELLED

Business

First Name

LISA

Middle

Last Name

YOUNG

Suffix

Business Name

LISA M YOUNG OD

Original Issue Date

12/03/2007

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

BERWYN

State

Zip

60402

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010