Tracey Lynn Pethoud Od

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

047932778

Status

Inactive (Cancelled)

First issued

January 12, 2007

Expired

March 31, 2010

License holder

Tracey Lynn Pethoud Od

Entity type

Individual

Classifications

• Licensed Optometrist Ancillary Office (Optometry) Vision & Hearing

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 047932777

  Licensed Optometrist Ancillary Office (Optometry)
  Inactive

  Fairview Heights, IL

  Expired Mar 31, 2010

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