TERESA BETH EIDE Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047933604

License Status

CANCELLED

Business

First Name

TERESA

Middle

BETH

Last Name

EIDE

Business Name

TERESA BETH EIDE

Original Issue Date

12/03/2007

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

EVANSTON

State

Zip

60202

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010