TIMOTHY L TEMPLETON OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047028910

License Status

NOT RENEWED

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

NILES

State

Zip

60714

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2005