TIMOTHY L TEMPLETON OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****91

License Status

NOT RENEWED

Business

First Name

TIMOTHY L

Last Name

TEMPLETON

Suffix

Business Name

TIMOTHY L TEMPLETON OD

Original Issue Date

10/17/1996

Effective Date

01/12/2000

Expiration Date

03/31/1998

City

NILES

State

Zip

60714

County

COOK

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

09/11/2005