BRUCE ALLAN TEITELBAUM OD - Optometrist License in Illinois | # 047007286

BRUCE ALLAN TEITELBAUM OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047007286

License Status

NOT RENEWED

Business

N

First Name

BRUCE

Middle

ALLAN

Last Name

TEITELBAUM

Suffix

OD

Business Name

BRUCE ALLAN TEITELBAUM OD

Original Issue Date

01/15/1991

Expiration Date

03/31/1996

State

IL

Ever Disciplined

N

LastModifiedDate

09/01/2005