PAMELA J EILENFELDT OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****77

License Status

NOT RENEWED

Business

First Name

PAMELA J

Last Name

EILENFELDT

Suffix

Business Name

PAMELA J EILENFELDT OD

Original Issue Date

07/21/1997

Effective Date

05/18/2000

Expiration Date

03/31/2000

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

01/18/2006