LAVENDER S STREIFF OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047931213

License Status

CANCELLED

Business

First Name

LAVENDER

Middle

Last Name

STREIFF

Suffix

Business Name

LAVENDER S STREIFF OD

Original Issue Date

05/25/2005

Effective Date

05/25/2005

Expiration Date

03/31/2006

City

LAKE BLUFF

State

Zip

60044

County

LAKE

Ever Disciplined

LastModifiedDate

05/11/2006