CYNTHIA L REYNOLDS-TEMPLE OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****97

License Status

NOT RENEWED

Business

First Name

CYNTHIA L

Last Name

REYNOLDS-TEMPLE

Suffix

Business Name

CYNTHIA L REYNOLDS-TEMPLE OD

Original Issue Date

02/16/1999

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

CHICAGO

State

Zip

60615

County

COOK

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

01/18/2006