LAVENDER S STREIFF OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930562

License Status

CANCELLED

Business

First Name

LAVENDER

Middle

Last Name

STREIFF

Suffix

Business Name

LAVENDER S STREIFF OD

Original Issue Date

09/03/2004

Effective Date

09/03/2004

Expiration Date

03/31/2006

City

GLENVIEW

State

Zip

60025

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006