STEVEN BARRY EIDEN OD - Optometrist License in Illinois | # 047007419

STEVEN BARRY EIDEN OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047007419

License Status

NOT RENEWED

Business

N

First Name

STEVEN

Middle

BARRY

Last Name

EIDEN

Suffix

OD

Business Name

STEVEN BARRY EIDEN OD

Original Issue Date

09/19/1996

Expiration Date

03/31/1998

State

IL

Ever Disciplined

N

LastModifiedDate

09/01/2005