TIMOTHY G CUNDIFF OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****54

License Status

NOT RENEWED

Business

First Name

TIMOTHY

Middle

Last Name

CUNDIFF

Suffix

Business Name

TIMOTHY G CUNDIFF OD

Original Issue Date

06/25/2008

Effective Date

06/25/2008

Expiration Date

03/31/2010

City

PEORIA

State

Zip

61605

County

PEORIA

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/04/2010