CYNTHIA L REYNOLDS-TEMPLE OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047925324

License Status

NOT RENEWED

Business

First Name

CYNTHIA L

Last Name

REYNOLDS-TEMPLE

Suffix

Business Name

CYNTHIA L REYNOLDS-TEMPLE OD

Original Issue Date

05/15/1997

Effective Date

06/12/1999

Expiration Date

03/31/1998

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

09/01/2005