DONALD R TESHIMA Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047006784

License Status

NOT RENEWED

Business

First Name

DONALD R

Last Name

TESHIMA

Business Name

DONALD R TESHIMA

Original Issue Date

07/02/1976

Expiration Date

01/01/1997

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2005