THOMAS RICHARD BENTHIEN - Optometrist License in Illinois | # 047107474

THOMAS RICHARD BENTHIEN

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047107474

License Status

NOT RENEWED

Business

N

First Name

THOMAS RICHARD

Last Name

BENTHIEN

Business Name

THOMAS RICHARD BENTHIEN

Original Issue Date

01/12/1984

Expiration Date

03/31/1986

State

IL

Ever Disciplined

N

LastModifiedDate

09/01/2005