ROBERT A TEETER OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****81

License Status

NOT RENEWED

Business

First Name

ROBERT

Middle

Last Name

TEETER

Suffix

Business Name

ROBERT A TEETER OD

Original Issue Date

09/14/2005

Effective Date

09/14/2005

Expiration Date

03/31/2006

City

MATTESON

State

Zip

60443

County

COOK

Specialty/Qualifier

RETAIL PHARMACY

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/11/2006