TIMOTHY G CUNDIFF OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047935863

License Status

CANCELLED

Business

First Name

TIMOTHY

Middle

Last Name

CUNDIFF

Suffix

Business Name

TIMOTHY G CUNDIFF OD

Original Issue Date

11/19/2009

Effective Date

11/19/2009

Expiration Date

03/31/2010

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

05/04/2010