STACY ELISE BEUTE OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047927169

License Status

NOT RENEWED

Business

First Name

STACY

Middle

ELISE

Last Name

BEUTE

Suffix

Business Name

STACY ELISE BEUTE OD

Original Issue Date

05/31/2000

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

ELMWOOD PARK

State

Zip

60707

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005