CAMERON LAYTON LAPP OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****26

License Status

NOT RENEWED

Business

Title

First Name

CAMERON

Middle

LAYTON

Last Name

LAPP

Business Name

CAMERON LAYTON LAPP OD

Original Issue Date

05/14/2001

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

CRESTWOOD

State

Zip

60445

County

COOK

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

01/18/2006