WILLARD B LYONS Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****49

License Status

CANCELLED

Business

First Name

WILLARD B

Last Name

LYONS

Business Name

WILLARD B LYONS

Original Issue Date

04/22/1996

Effective Date

03/22/2004

Expiration Date

03/31/2004

City

GURNEE

State

Zip

60031

County

LAKE

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

09/11/2005