JIA LAO OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047935696

License Status

CANCELLED

Business

First Name

JIA

Last Name

LAO

Suffix

Business Name

JIA LAO OD

Original Issue Date

09/17/2009

Effective Date

09/17/2009

Expiration Date

03/31/2010

City

MELROSE PARK

State

Zip

60160

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010