KEITH FREDRICK TYLER OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047934548

License Status

CANCELLED

Business

First Name

KEITH

Middle

FREDRICK

Last Name

TYLER

Suffix

Business Name

KEITH FREDRICK TYLER OD

Original Issue Date

08/18/2008

Effective Date

08/18/2008

Expiration Date

03/31/2010

City

MORTON GROVE

State

Zip

60053

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010