STACY ELISE BEUTE OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930045

License Status

CANCELLED

Business

First Name

STACY

Middle

ELISE

Last Name

BEUTE

Suffix

Business Name

STACY ELISE BEUTE OD

Original Issue Date

03/22/2004

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010