LISA M YOUNG OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047935188

License Status

CANCELLED

Business

First Name

LISA

Middle

Last Name

YOUNG

Suffix

Business Name

LISA M YOUNG OD

Original Issue Date

03/26/2009

Effective Date

03/26/2009

Expiration Date

03/31/2010

City

EVANSTON

State

Zip

60201

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010