JIA LAO OD Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046010296

License Status

INACTIVE

Business

First Name

JIA

Last Name

LAO

Suffix

Business Name

JIA LAO OD

Original Issue Date

07/28/2009

Effective Date

07/28/2009

Expiration Date

03/31/2010

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

01/05/2010