MARC LEE BRAITHWAITE Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046009425

License Status

NOT RENEWED

Business

First Name

MARC

Middle

LEE

Last Name

BRAITHWAITE

Business Name

MARC LEE BRAITHWAITE

Original Issue Date

11/29/2001

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2005