CYNTHIA L REYNOLDS-TEMPLE OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047927985

License Status

NOT RENEWED

Business

First Name

CYNTHIA L

Last Name

REYNOLDS-TEMPLE

Suffix

Business Name

CYNTHIA L REYNOLDS-TEMPLE OD

Original Issue Date

07/13/2001

Effective Date

04/15/2002

Expiration Date

03/31/2002

City

CHICAGO

State

Zip

60617

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005