LAVENDER S STREIFF OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047931538

License Status

CANCELLED

Business

First Name

LAVENDER

Middle

Last Name

STREIFF

Suffix

Business Name

LAVENDER S STREIFF OD

Original Issue Date

09/30/2005

Effective Date

01/18/2006

Expiration Date

03/31/2008

City

EVANSTON

State

Zip

60201

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2008