RHONDA G PETERS OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****03

License Status

CANCELLED

Business

Title

First Name

RHONDA

Middle

Last Name

PETERS

Business Name

RHONDA G PETERS OD

Original Issue Date

06/04/1996

Effective Date

03/11/2004

Expiration Date

03/31/2006

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

01/18/2006