MATTHEW DAVID VIZITHUM OD - Optometrist License in North Carolina | # 046009092

MATTHEW DAVID VIZITHUM OD

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046009092

License Status

INACTIVE

Business

N

First Name

MATTHEW

Middle

DAVID

Last Name

VIZITHUM

Suffix

OD

Business Name

MATTHEW DAVID VIZITHUM OD

Original Issue Date

07/15/1998

Effective Date

01/31/2000

Expiration Date

03/31/2000

State

NC

Ever Disciplined

N

LastModifiedDate

09/11/2005