TIMOTHY L TEMPLETON OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047018910

License Status

CANCELLED

Business

First Name

TIMOTHY L

Last Name

TEMPLETON

Suffix

Business Name

TIMOTHY L TEMPLETON OD

Original Issue Date

10/15/1996

Expiration Date

03/31/1998

City

EVERGREEN PARK

State

Zip

60805

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2005