TIMOTHY J LEAHY OD - Optometrist License in Illinois | # 047928775

TIMOTHY J LEAHY OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047928775

License Status

NOT RENEWED

Business

N

First Name

TIMOTHY

Middle

J

Last Name

LEAHY

Suffix

OD

Business Name

TIMOTHY J LEAHY OD

Original Issue Date

06/20/2002

Effective Date

06/04/2004

Expiration Date

03/31/2004

State

IL

Ever Disciplined

N

LastModifiedDate

09/11/2005