THOMAS RICHARD BENTHIEN - Optometrist License in Illinois | # 047307474

THOMAS RICHARD BENTHIEN

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047307474

License Status

NOT RENEWED

Business

N

First Name

THOMAS RICHARD

Last Name

BENTHIEN

Business Name

THOMAS RICHARD BENTHIEN

Original Issue Date

02/07/1989

Expiration Date

03/31/1992

State

IL

Ever Disciplined

N

LastModifiedDate

09/01/2005