TODD DAVID PEABODY OD Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046009540

License Status

INACTIVE

Business

First Name

TODD

Middle

DAVID

Last Name

PEABODY

Suffix

Business Name

TODD DAVID PEABODY OD

Original Issue Date

06/25/2003

Effective Date

01/18/2006

Expiration Date

03/31/2008

City

GREAT LAKES

State

Zip

60088

County

LAKE

Ever Disciplined

LastModifiedDate

01/10/2008