Lisa Rose Thatch Od
ExpiredIllinois license 34*****60
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 34*****60
- Status
- Expired (Not Renewed)
- First issued
- March 12, 2004
- Expired
- March 31, 2014
- License holder
- Lisa Rose Thatch Od
- Entity type
- Individual
Classifications
- Optometrist Controlled Substance (Optometry) Vision & Hearing
More from the license record
- Specialty
- Practitioner
- Controlled substance schedules
- III IV V
- Current term began
- 02/14/2012
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Contact
Mount Vernon, IL 62864
Jefferson County