TIMOTHY J BUYDOS OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****78

License Status

NOT RENEWED

Business

First Name

TIMOTHY

Middle

Last Name

BUYDOS

Suffix

Business Name

TIMOTHY J BUYDOS OD

Original Issue Date

09/09/2005

Effective Date

09/09/2005

Expiration Date

03/31/2006

City

SHILOH

State

Zip

62269

County

SAINT CLAIR

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

05/11/2006