NANCY KIEUOANH VAN Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046011476

License Status

NOT RENEWED

Business

First Name

NANCY

Middle

KIEUOANH

Last Name

VAN

Business Name

NANCY KIEUOANH VAN

Original Issue Date

10/06/2020

Effective Date

10/06/2020

Expiration Date

05/31/2022

City

LAKEWOOD

State

Zip

80227

Ever Disciplined

LastModifiedDate

07/27/2022