License holder summary

LAWRENCE ANNA ELLEN is a Optometrists licensed to practice in California. The address on file for LAWRENCE ANNA ELLEN is 6144 WEST 79TH STREET BURBANK IL 60459. This licensed professional license is not current. The license was granted 09/26/2002 and expired on 11/30/2004.

California

Department of Consumer Affairs

LAWRENCE ANNA ELLEN
Optometrists
License number
12217
Date granted
09/26/2002
Date expires
11/30/2004
Class
Optometrists
Status
Canceled
Address
6144 WEST 79TH STREET BURBANK IL 60459
californialicensing.org
ID 11646879
LAST UPDATED 2024-04-10 03:16:29 UTC

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