TERESA BETH EIDE Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047935417

License Status

CANCELLED

Business

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

City

LOMBARD

State

Zip

60148

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/04/2010