License Directory

Tracey Lynn Pethoud Od

Inactive

Illinois license 047932777

License

Licensed by
Illinois Department of Financial and Professional Regulation
License number
047932777
Status
Inactive (Cancelled)
First issued
January 12, 2007
Expired
March 31, 2010
License holder
Tracey Lynn Pethoud Od
Entity type
Individual

Classifications

More from the license record

Current term began
01/10/2008

Other Illinois licenses under this name

  • IL
    Tracey Lynn Pethoud Od
    License 046009160
    Licensed Optometrist (Optometry)
    Expired
    St Louis, MO
    Expired Mar 31, 2010
  • IL
    Tracey Lynn Pethoud Od
    License 047932778
    Licensed Optometrist Ancillary Office (Optometry)
    Inactive
    Wood River, IL
    Expired Mar 31, 2010

Contact

Fairview Heights, IL 62208
Saint Clair County