LAVENDER S STREIFF OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930743

License Status

NOT RENEWED

Business

First Name

LAVENDER

Middle

Last Name

STREIFF

Suffix

Business Name

LAVENDER S STREIFF OD

Original Issue Date

11/23/2004

Effective Date

01/18/2006

Expiration Date

03/31/2008

City

CHICAGO

State

Zip

60641

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2008