TERESA L MYERS OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930029

License Status

NOT RENEWED

Business

First Name

TERESA L

Last Name

MYERS

Suffix

Business Name

TERESA L MYERS OD

Original Issue Date

03/16/2004

Effective Date

03/16/2004

Expiration Date

03/31/2006

City

FAIRVIEW HEIGHTS

State

Zip

62208

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

05/11/2006