BELINDA SELF MCINTIRE OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047934662

License Status

CANCELLED

Business

First Name

BELINDA

Middle

SELF

Last Name

MCINTIRE

Suffix

Business Name

BELINDA SELF MCINTIRE OD

Original Issue Date

09/17/2008

Effective Date

09/17/2008

Expiration Date

03/31/2010

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010