LISA M YOUNG OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047934937

License Status

CANCELLED

Business

First Name

LISA

Middle

Last Name

YOUNG

Suffix

Business Name

LISA M YOUNG OD

Original Issue Date

12/16/2008

Effective Date

12/16/2008

Expiration Date

03/31/2010

City

NORTHBROOK

State

Zip

60062

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010