STACY ELISE BEUTE OD - Optometrist License in Illinois | # 047930045

STACY ELISE BEUTE OD

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930045

License Status

CANCELLED

Business

N

First Name

STACY

Middle

ELISE

Last Name

BEUTE

Suffix

OD

Business Name

STACY ELISE BEUTE OD

Original Issue Date

03/22/2004

Effective Date

01/10/2008

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010