TERESA BETH EIDE - Optometrist License in Illinois | # 047935417

TERESA BETH EIDE

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047935417

License Status

CANCELLED

Business

N

First Name

TERESA

Middle

BETH

Last Name

EIDE

Business Name

TERESA BETH EIDE

Original Issue Date

06/16/2009

Effective Date

06/16/2009

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010