CYNTHIA L REYNOLDS-TEMPLE OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****40

License Status

NOT RENEWED

Business

First Name

CYNTHIA L

Last Name

REYNOLDS-TEMPLE

Suffix

Business Name

CYNTHIA L REYNOLDS-TEMPLE OD

Original Issue Date

10/08/2004

Effective Date

03/11/2014

Expiration Date

03/31/2016

City

CHICAGO

State

Zip

60608

County

COOK

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

05/20/2016