TERRI ANN BAILEY ECHAGUE OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****38

License Status

NOT RENEWED

Business

Title

First Name

TERRI ANN

Middle

BAILEY

Last Name

ECHAGUE

Business Name

TERRI ANN BAILEY ECHAGUE OD

Original Issue Date

09/09/2008

Effective Date

03/01/2010

Expiration Date

03/31/2012

City

GURNEE

State

Zip

60031

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/16/2012