CYNTHIA L REYNOLDS-TEMPLE OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047926369

License Status

NOT RENEWED

Business

First Name

CYNTHIA L

Last Name

REYNOLDS-TEMPLE

Suffix

Business Name

CYNTHIA L REYNOLDS-TEMPLE OD

Original Issue Date

09/13/1999

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

CHICAGO

State

Zip

60615

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005