EFFIE LILAS OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****33

License Status

NOT RENEWED

Business

First Name

EFFIE

Last Name

LILAS

Suffix

Business Name

EFFIE LILAS OD

Original Issue Date

09/24/2007

Effective Date

09/24/2007

Expiration Date

03/31/2008

City

OSWEGO

State

Zip

60543

County

KENDALL

Specialty/Qualifier

HOSPITAL/CLINIC

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

05/02/2008