PAMELA J EILENFELDT OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****73

License Status

NOT RENEWED

Business

First Name

PAMELA J

Last Name

EILENFELDT

Suffix

Business Name

PAMELA J EILENFELDT OD

Original Issue Date

11/20/2008

Effective Date

11/20/2008

Expiration Date

03/31/2010

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/04/2010