VASANA LERDVORATAVEE OD Optometrist License verification

Business Entity

ACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046008943

License Status

ACTIVE

Business

First Name

VASANA

Last Name

LERDVORATAVEE

Suffix

Business Name

VASANA LERDVORATAVEE OD

Original Issue Date

10/09/1996

Effective Date

02/04/2026

Expiration Date

03/31/2028

City

WOODRIDGE

State

Zip

60517

Ever Disciplined

LastModifiedDate

02/04/2026