NICOLE-NINHCO PHU HA OD Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046009319

License Status

INACTIVE

Business

First Name

NICOLE-NINHCO

Middle

PHU

Last Name

Suffix

Business Name

NICOLE-NINHCO PHU HA OD

Original Issue Date

01/02/2001

Effective Date

02/07/2002

Expiration Date

03/31/2002

City

MONT CLAIR

State

Zip

91763

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

09/11/2005