JANICE M PETERSEN EASTY Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047934323

License Status

CANCELLED

Business

First Name

JANICE M

Last Name

PETERSEN EASTY

Business Name

JANICE M PETERSEN EASTY

Original Issue Date

06/23/2008

Effective Date

06/23/2008

Expiration Date

03/31/2010

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Ever Disciplined

LastModifiedDate

05/04/2010