ANNA E LAWRENCE OD Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****57

License Status

INACTIVE

Business

First Name

ANNA

Middle

Last Name

LAWRENCE

Suffix

Business Name

ANNA E LAWRENCE OD

Original Issue Date

02/05/2002

Effective Date

03/16/2004

Expiration Date

03/31/2004

City

SCHAUMBURG

State

Zip

60173

County

COOK

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

09/11/2005