LAVENDER S STREIFF OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047932221

License Status

CANCELLED

Business

First Name

LAVENDER

Middle

Last Name

STREIFF

Suffix

Business Name

LAVENDER S STREIFF OD

Original Issue Date

05/05/2006

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

ELMHURST

State

Zip

60126

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/04/2010