Keith A La Vallee Od
ExpiredIllinois license 047930130
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 047930130
- Status
- Expired (Not Renewed)
- First issued
- May 26, 2004
- Expired
- March 31, 2006
- License holder
- Keith A La Vallee Od
- Entity type
- Individual
Classifications
- Licensed Optometrist Ancillary Office (Optometry) Vision & Hearing
More from the license record
- Current term began
- 05/26/2004
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Contact
Bloomingdale, IL 60108
Dupage County