LYNNE C STANFORD OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047934469

License Status

CANCELLED

Business

First Name

LYNNE

Middle

Last Name

STANFORD

Suffix

Business Name

LYNNE C STANFORD OD

Original Issue Date

08/01/2008

Effective Date

08/01/2008

Expiration Date

03/31/2010

City

DEERFIELD

State

Zip

60015

County

LAKE

Ever Disciplined

LastModifiedDate

05/04/2010