TERESA BETH EIDE Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046009929

License Status

NOT RENEWED

Business

First Name

TERESA

Middle

BETH

Last Name

EIDE

Business Name

TERESA BETH EIDE

Original Issue Date

12/21/2006

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

MADISON

State

Zip

53717

County

WISCONSIN

Ever Disciplined

LastModifiedDate

05/04/2010