STEVEN BARRY EIDEN OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047930946

License Status

CANCELLED

Business

First Name

STEVEN

Middle

BARRY

Last Name

EIDEN

Suffix

Business Name

STEVEN BARRY EIDEN OD

Original Issue Date

03/10/2005

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

PARK RIDGE

State

Zip

60068

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010