PAMELA J EILENFELDT OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047934712

License Status

CANCELLED

Business

First Name

PAMELA J

Last Name

EILENFELDT

Suffix

Business Name

PAMELA J EILENFELDT OD

Original Issue Date

10/06/2008

Effective Date

10/06/2008

Expiration Date

03/31/2010

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/04/2010