CYNTHIA M LO OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****98

License Status

CANCELLED

Business

First Name

CYNTHIA

Middle

Last Name

Suffix

Business Name

CYNTHIA M LO OD

Original Issue Date

12/19/2000

Effective Date

03/24/2004

Expiration Date

03/31/2004

City

NAPERVILLE

State

Zip

60563

County

DUPAGE

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

09/11/2005