KEITH FREDRICK TYLER OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047935204

License Status

CANCELLED

Business

First Name

KEITH

Middle

FREDRICK

Last Name

TYLER

Suffix

Business Name

KEITH FREDRICK TYLER OD

Original Issue Date

04/02/2009

Effective Date

04/02/2009

Expiration Date

03/31/2010

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010